NPIMap

Organization Active NPI

Gulf Coast Orthopedic Specialists PA

  • Specialist
  • Pensacola, FL
National Provider Identifier
1013000165
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GULF COAST ORTHOPEDIC SPECIALISTS PA
Practice address
4541 N Davis Hwy
Suite a
Pensacola, FL 32503
Phone
(850) 494-9000
Fax
(850) 479-4258
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert B Cameron, M.D.
Title
Surgeon Partner
Phone
(850) 494-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

4541 N Davis Hwy
Suite a
Pensacola, FL 32503

Mailing address

4541 N Davis Hwy
Suite a
Pensacola, FL 32503
Phone (850) 494-9000

Other identifiers 5

IdentifierTypeStateIssuer
044171600MedicaidFL
244684OtherFLUNITED HEALTHCARE
00788OtherFLBCBS FLORIDA
590C078OtherALBCBS ALABAMA
CL2119OtherFLMEDICARE RAILROAD

Other names 1

  • GULF COAST ORTHOPEDIC SPECIALISTS Other name

National Provider Directory

National Provider Directory

Locations

1110 Gulf Breeze Pkwy
Ste 101
Gulf Breeze, FL 32561
Phone (850) 932-3401

4541 N Davis Hwy
Pensacola, FL 32503

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1013000165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N DAVIS HWY",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-494-9000",
            "fax_number": "850-479-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N DAVIS HWY",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-494-9000",
            "fax_number": "850-479-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ORTHOPEDIC SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SURGEON PARTNER",
        "authorized_official_telephone_number": "850-494-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044171600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "244684",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "00788",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "590C078",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CL2119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST ORTHOPEDIC SPECIALISTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.