Organization Active NPI

Pensacola Cardiology, PA

  • Cardiovascular Disease Physician
  • Pensacola, FL
National Provider Identifier
1013455609
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PENSACOLA CARDIOLOGY, PA
Practice address
4700 Bayou Blvd
Suite 2B
Pensacola, FL 32503-2698
Phone
(850) 433-3300
Fax
(850) 433-9709
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Authorized official

Name
Dr. William D Doty, M.D.NPI 1558361063
Title
Owner
Phone
(850) 433-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4700 Bayou Blvd
Suite 2B
Pensacola, FL 32503-2698

Mailing address

4700 Bayou Blvd
Suite 2B
Pensacola, FL 32503-2698
Phone (850) 433-3300

Other identifiers 1

IdentifierTypeStateIssuer
1013455609OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170727001942 FL Part B Supplier - Clinic/Group Practice 3173893872 Receives reassigned benefits from 2 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

4700 Bayou Blvd
Ste 2B
Pensacola, FL 32503
Phone (850) 433-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16053/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1013455609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD",
            "address_2": "SUITE 2B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032698",
            "telephone_number": "850-433-3300",
            "fax_number": "850-433-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD",
            "address_2": "SUITE 2B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032698",
            "telephone_number": "850-433-3300",
            "fax_number": "850-433-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-433-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013455609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.