KENDRAL WAYNE ADKISSON (NPI# 1790871895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790871895 |
| Entity Type | Individual |
| Full Name | KENDRAL WAYNE ADKISSON |
| Other Name | K WAYNE ADKISSON |
| Credential | MD |
| Practice Address |
5147 N 9th Ave Ste 311 Pensacola FL 32504-8770 |
| Mailing Address |
4828 N Davis Hwy Pensacola FL 32503-2341 |
| Practice Telephone | 8504772597 |
| Practice Fax Number | 8504787941 |
| Mailing Telephone | 8504778109 |
| Mailing Fax Number | 8504782412 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME82477 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF ALABAMA | 059039702 | 01 |
| CIGNA | 8242665 | 01 | |
| AL | 009957930 | 05 | |
| HEALTH OPTIONS | B336 | 01 | |
| RAILROAD MEDICARE | 100015381 | 01 | |
| FL | BCBS OF FLORIDA | 26083 | 01 |
| FL | 261558400 | 05 | |
| UNITED HEATLH CARE | 002102707001 | 01 | |
| AETNA | 7192252 | 01 |
| Street Address |
5147 N 9TH AVE STE 311 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412654 | Richard Robert Dobhan | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-01-20 |
| 1194350686 | Todd Edward Leroy | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2020-03-05 |
| 1790065035 | Mimi Ann Kingery | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2011-08-18 |
| 1386892289 | Cathy Lee Aaron | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2008-09-04 |
| 1558457499 | Rachel G Thompson | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1538255476 | Christopher Shane Smith | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1255427175 | Roger M Orth | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1073609483 | Daniel S. Finelli | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-04 |
| 1831284405 | Paul Douglas Brown | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-03 |
| 1841383304 | Fares S. Hakim | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1386737955 | James W Smith | Internal Medicine | 5147 North 9th Avenue, Suite 311, Pensacola, FL 32504 | 2006-10-02 |
| 1598727430 | David W. Dozer | Internal Medicine | 1717 N E St Ste 401, Pensacola, FL 32501-6346 | 2006-04-05 |
| 1861454738 | Virginia Lynn Critelli | Internal Medicine | 1717 North E. Street, Suite 401, Pensacola, FL 32501 | 2006-04-05 |
| 1265412654 | Richard Robert Dobhan | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-01-20 |
| 1568443299 | Frederic Brad Newman | Internal Medicine | 4531 N Davis Hwy, Pensacola, FL 32503-2770 | 2005-11-09 |
| 1568559938 | Patrick Francis Reilly | Internal Medicine | 4531 N Davis Hwy, Pensacola, FL 32503-2770 | 2006-10-06 |
| 1255427175 | Roger M Orth | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1073609483 | Daniel S. Finelli | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-04 |
| 1245325802 | Carl Granberry Speer | Internal Medicine | 4531 N Davis Hwy, Pensacola, FL 32503-2770 | 2006-10-03 |
| 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.