PENSACOLA UROLOGY, PA (NPI# 1962489278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962489278 |
| Entity Type | Organization |
| Organization Name | PENSACOLA UROLOGY, PA |
| Practice Address |
1717 N E St Suite 430 Pensacola FL 32501-6339 |
| Practice Telephone | 8504444707 |
| Practice Fax Number | 8504322532 |
| Mailing Telephone | 8504444707 |
| Mailing Fax Number | 8504322532 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RONDA MICHELLE BOND (INSURANCE & BILLING SUPERVISOR) |
| Authorized Official Telephone | 8504444707 |
| Authorized Official Credential | CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | FL | Other Service Providers |
| Street Address |
1717 N E ST SUITE 430 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518478 | David T Casey | Ophthalmology | 1717 N E St, Ste 424, Pensacola, FL 32501-6333 | 2005-06-14 |
| 1619482957 | Toinetta Coolie | Nurse Practitioner | 1717 N E St, Pensacola, FL 32501-6339 | 2017-12-08 |
| 1629517917 | Evolve Podiatry LLC | Podiatrist | 1717 N E St, 116-a, Pensacola, FL 32501-6339 | 2017-02-20 |
| 1184171258 | Madeliene Hill | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-09-07 |
| 1689129108 | Kristin Bailey Leonard | Nurse Practitioner | 1717 N E St, Suite 331, Pensacola, FL 32501-6339 | 2016-08-25 |
| 1700249596 | Lacy Michelle Kusy | Nurse Practitioner | 1717 N E St, Suite 331, Pensacola, FL 32501 | 2016-03-30 |
| 1497112270 | Sherri Peete | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-01-25 |
| 1447615554 | Jessica Sinco | Physician Assistant | 1717 N E St, Suite 208, Pensacola, FL 32501-6339 | 2015-12-17 |
| 1053781948 | Edward A Hughes | Physician Assistant | 1717 N E St, Suite 530, Pensacola, FL 32501-6339 | 2015-10-05 |
| 1215316146 | Caitlin E Dalgo | Nurse Practitioner | 1717 N E St, Pensacola, FL 32501-6339 | 2015-05-26 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528338522 | Paul E Pearson | Specialist | 6400 N Davis Hwy, Suite 2, Pensacola, FL 32504-6903 | 2012-01-06 |
| 1932403409 | Staci Ann Jagoe | Specialist | 455 Shiloh Dr, Pensacola, FL 32503-7713 | 2010-12-27 |
| 1154640308 | Cristen Miller | Specialist | 4470 Spanish Trl, 97, Pensacola, FL 32504-4903 | 2010-05-27 |
| 1437482023 | Daniel Paul Hobgood Iv | Specialist | 4317 Spanish Trl, Pensacola, FL 32504-4942 | 2009-09-14 |
| 1336384783 | Sean Mathew Weiser | Specialist | 744 E Burgess Rd, Suite A105, Pensacola, FL 32504-6227 | 2008-12-12 |
| 1841470895 | Still Waters Medical Spa | Specialist | 20 N Tarragona St, Pensacola, FL 32502-6063 | 2007-11-07 |
| 1306032420 | Janice Leigh Nicholson | Specialist | 4438 Omaha Dr, Pensacola, FL 32507-7746 | 2007-09-21 |
| 1396938247 | Harry James Beecham IIi | Specialist | 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | 2007-08-23 |
| 1174713531 | Kotlarz Ent and Facial Plastic Surgery | Specialist | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2007-07-31 |
| 1205036886 | East-west Medical & Rehabilitation Associates Pa | Specialist | 236 W. Garden St, Ste 1, Pensacola, FL 32501 | 2007-07-20 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on PENSACOLA UROLOGY, PA.
| 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.