PENSACOLA EMERGENCY PHYSICIANS, LLC (NPI# 1801841473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801841473 |
| Entity Type | Organization |
| Organization Name | PENSACOLA EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1000 W Moreno St Pensacola FL 32501-2316 |
| Mailing Address |
Po Box 21203 Belfast ME 04915-4109 |
| Practice Telephone | 8504344011 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427356393 | Pensacola Emergency Physicians, LLC | Emergency Medicine | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2011-03-02 |
| Street Address |
1000 W MORENO ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035249 | Amy A Roberts | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2005-07-05 |
| 1487254140 | Pensacola Hospitalist Physicians, LLC | Hospitalist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-10-30 |
| 1558983924 | Brian Joseph Longoria | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-05-08 |
| 1336779628 | Nova Sarah Francis | Nurse Practitioner | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-01-25 |
| 1457901779 | Joshua Philip Marshall | Registered Nurse | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-09-18 |
| 1518521152 | Dianne Montgomery | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-29 |
| 1740844729 | David Michael Saldana | Physical Therapy Assistant | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-25 |
| 1467015446 | Nicole Woodall | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-16 |
| 1730641382 | Taylor K Brown | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
| 1932661584 | Heriberto Cruz | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700237930 | Michael Weeks | Emergency Medicine | 1403 Bayou Blvd, Pensacola, FL 32503-6253 | 2016-06-29 |
| 1396935656 | Socrates Emergency Physicians | Emergency Medicine | 815 S Palafox St, Suite 300, Pensacola, FL 32502-5937 | 2007-08-01 |
| 1720103773 | Ben Francis Prewitt Jr. | Emergency Medicine | 4055 Goya Dr, Pensacola, FL 32504-4526 | 2007-03-20 |
| 1275614711 | George W Atwell | Emergency Medicine | 204 W Brainerd St, Pensacola, FL 32501-3058 | 2006-10-18 |
| 1740372960 | Brenda A Jacobsen | Emergency Medicine | 1235 La Paz St, Pensacola, FL 32506-9709 | 2006-09-28 |
| 1326148727 | Michael J. Dolister | Emergency Medicine | 1000 W. Moreno St, Pensacola, FL 32501 | 2006-09-25 |
| 1629090790 | David E Miller | Emergency Medicine | 6420 N 9th Ave, Pensacola, FL 32504-7322 | 2006-07-24 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1164485926 | Peter Michael Manis | Emergency Medicine | 3291 E Olive Rd, Pensacola, FL 32514-6241 | 2006-04-11 |
| 1851379051 | Nancy Churosh | Emergency Medicine | 5151 N 9th Ave # Er, Pensacola, FL 32504-8721 | 2006-01-06 |
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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.