Maria R. Sangillo, D.C., C.S.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4142 Issued in FL

Practice address

2110 Creighton Rd
Pensacola, FL 32504-7218

Phone

(850) 473-8080

Fax

(850) 473-8816

NPI assigned

Jul 5, 2006

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creighton Chiropractic Center

  • Chiropractor
  • Pensacola, FL
  • NPI 1114103421
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1073544318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-473-8080",
            "fax_number": "850-473-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-473-8080",
            "fax_number": "850-473-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGILLO",
        "first_name": "MARIA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C., C.S.S.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-3460844",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sanders, MD
• Todd Sanders, MD
• Trisha Leah Sanders, FNP-C
• Tyler Sanders, PTA
• Catherine Kendall Sands, IBCLC
• Afolabi Olakunle Sangosanya, M.D.
• Laurie Sansbury, DO
• Lillie Sansing, MD
• Valdineia Santana de Oliveira
• Widalys Santiago Miranda, M.D.

• Sports Physician Chiropractor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.