NINTH AVENUE MEDICAL SERVICES, INC. (NPI# 1760755490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755490 |
| Entity Type | Organization |
| Organization Name | NINTH AVENUE MEDICAL SERVICES, INC. |
| Practice Address |
4455 N 9th Ave Pensacola FL 32503-2830 |
| Practice Telephone | 8504339337 |
| Practice Fax Number | 8504338069 |
| Mailing Telephone | 8504339337 |
| Mailing Fax Number | 8504338069 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | DR. TERRY J. WALLACE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8504339337 |
| Authorized Official Credential | D. C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH4532 | FL | Chiropractic Providers |
| Street Address |
4455 N 9TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994767 | Eric Lawrence Frank | Chiropractor | 4455 N 9th Ave, Pensacola, FL 32503-2830 | 2006-10-10 |
| 1730458191 | Physicians Associates of Pensacola, Inc. | Chiropractor | 4455 N 9th Ave, Pensacola, FL 32503-2830 | 2011-12-14 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869056 | Wellness Way Pensacola LLC | Chiropractor | 810 Scenic Hwy Ste A, Pensacola, FL 32503-6866 | 2020-04-03 |
| 1376180604 | Vladimir Djuric | Chiropractor | 12960 Lillian Hwy, Pensacola, FL 32506-8423 | 2019-12-05 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1821569146 | Robert Dominic Corvino II | Chiropractor | 4300 Bayou Blvd Ste 31a, Pensacola, FL 32503-1949 | 2018-12-14 |
| 1992280309 | Gabriel Waterman | Chiropractor | 600 University Office Blvd Ste 14, Pensacola, FL 32504-6247 | 2018-10-02 |
| 1538604509 | East Hill Medical Group | Chiropractor | 99 S Alcaniz St Ste B, Pensacola, FL 32502-8002 | 2016-12-30 |
| 1881017838 | Advanced Family Chiropractic of Pensacola | Chiropractor | 2901 E Cervantes St, Ste B, Pensacola, FL 32503-6418 | 2014-01-28 |
| 1013346428 | Comprehensive Pain Services Pllc | Chiropractor | 698 Brent Ln, Pensacola, FL 32503-2104 | 2013-11-06 |
| 1669719589 | Robert Thomson Jr. | Chiropractor | 280 N Palafox St, Pensacola, FL 32502-4841 | 2013-01-11 |
| 1669727350 | Dr. Edwin Roberts Chiropractic, Plc | Chiropractor | 4469 Mobile Hwy, Pensacola, FL 32506-8241 | 2012-07-18 |
| 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.