BENJAMIN LOUIE STALNAKER JR. (NPI# 1821105479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821105479 |
| Entity Type | Individual |
| Full Name | BENJAMIN LOUIE STALNAKER JR. |
| Credential | M.D. |
| Practice Address |
4905 North Davis Highway Pensacola FL 32503-2343 |
| Mailing Address |
4905 North Davis Highway Pensacola FL 32503 |
| Practice Telephone | 8504769802 |
| Mailing Telephone | 8504769802 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME10375 | FL | Other Service Providers |
| N | 207P00000X | Emergency Medicine | ME10375 | FL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | MD.2888 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS-FL | 17185 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Med Park Dr, Thomasville, AL 367845760 | 3346362525 | 3346053111 |
| Street Address |
4905 NORTH DAVIS HIGHWAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2343 |
| 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 | 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 |
| 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.