HENGHOLD SURGERY CENTER LLC (NPI# 1760724314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760724314 |
| Entity Type | Organization |
| Organization Name | HENGHOLD SURGERY CENTER LLC |
| Practice Address |
530 Fontaine St Pensacola FL 32503-2019 |
| Mailing Address |
540 Fontaine St Pensacola FL 32503-2019 |
| Practice Telephone | 8504744775 |
| Practice Fax Number | 8504848223 |
| Mailing Telephone | 8504744775 |
| Mailing Fax Number | 8504848223 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | DR. WILLIAM B HENGHOLD II (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8504744775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
530 FONTAINE ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536508 | William B Henghold II | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2005-08-23 |
| 1083259642 | Forefront Dermatology, S.c. | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2019-11-07 |
| 1164814547 | Patrizia Angela Lewis | Nurse Practitioner | 530 Fontaine St, Pensacola, FL 32503-2019 | 2015-02-23 |
| 1699115014 | Luke Hyder | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-06-29 |
| 1861666398 | Jeanette Nadine Batchelor | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2008-04-16 |
| 1598877953 | Kelly Christine Stubblefield | Nurse Practitioner | 530 Fontaine St, Pensacola, FL 32503 | 2006-08-31 |
| 1851308589 | Beverly Tippens Quenneville | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503 | 2006-08-02 |
| 1306850797 | Jerome Paul Fairchild | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-07-28 |
| 1770519647 | Debra Martin Cole | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033468442 | Cornerstone Surgicare LLC | Clinic/Center | 511 Hewitt Street, Pensacola, FL 32503 | 2012-08-30 |
| 1144291923 | Interventional Therapeutics Institute, LLC | Clinic/Center | 5102 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-01-30 |
| 1033113402 | Northwest Florida Surgical Center, Inc. | Clinic/Center | 4600 N Davis Hwy, Pensacola, FL 32503 | 2005-06-13 |
| 1881131621 | Fresenius Vascular Care of Pensacola Asc LLC | Clinic/Center | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2017-01-31 |
| 1891161154 | Advanced Surgery Center LLC | Clinic/Center | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2015-08-20 |
| 1760875983 | Baptist Medical Park Surgery Center, LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2015-03-12 |
| 1417077090 | Baptist Medical Park Surgery Center LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2007-03-29 |
| 1942344106 | Southeast Association of Healthcare Providers Inc | Clinic/Center | 5330 N Davis Hwy, Pensacola, FL 32503-2006 | 2007-02-19 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.