Healthstat Pensacola LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHSTAT PENSACOLA LLC

Practice address

1678 Airport Blvd
Pensacola, FL 32504-8618

Phone

(850) 479-3790

Fax

(850) 479-3920

NPI assigned

Jun 20, 2011

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Kinzler

Title

Evp Sales & Marketing

Phone

(704) 529-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthstat On-Site Clinic Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Eric Hart, M.D.

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1326044504
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1053606988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CHARLOTTE PARK DR",
            "address_2": "SUITE 390",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171915",
            "telephone_number": "704-529-6161",
            "fax_number": "704-936-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048618",
            "telephone_number": "850-479-3790",
            "fax_number": "850-479-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT PENSACOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "KINZLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EVP SALES & MARKETING",
        "authorized_official_telephone_number": "704-529-6161"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5706657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthstat On-Site Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Hazbun, MD
• Brent Philip Hazen, M.D.
• Healing Reigns Inc
• Health and Hope Clinic, Inc.
• Healthsource of Northwest Florida LLC (Healthsource of NW Florida)
• Hear for You
• Hear for You, LLC
• Arlene S Heard, RD
• Hearing Aid Care Center
• Hearing Associates of Pensacol

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.