John Mark Renfroe, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH5606 Issued in FL

Practice address

1421 E Nine Mile Rd
Pensacola, FL 32514-5723

Phone

(850) 484-7735

Fax

(850) 484-7736

NPI assigned

Jan 25, 2006

Last updated

Jun 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrenfroe@gcpi-fl.direct.office.nextgen.com

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.

• Renfroe Spinal Center LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1083826523
  NPD (past) Authorized official
• Pain Consultants of West Florida

  • Pain Clinic/Center
  • Pensacola, FL
  • NPI 1508445966
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1164492815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145723",
            "telephone_number": "850-484-7735",
            "fax_number": "850-484-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145723",
            "telephone_number": "850-484-7735",
            "fax_number": "850-484-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group of the Southeast, Inc. (Fresenius Medical Care Pensacola)
• Renal Treatment Centers-Southeast, LP. (West Florida Dialysis)
• Nicole Kristen Rendos Speer, PHD, LAT, ATC, CSCS
• Renfreo Spinal Center
• Renfroe Spinal Center LLC
• Philip E Renfroe, DC
• Daniel Frank Rentz, DDS, MSD
• Morgan Reola, FNP-BC
• Isaiah Elijah Aspra Requintina, PT, DPT
• Cristina Lynn Resczenski, DO

• Neurology Chiropractor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Neurology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.