Active NPI
David Wolters Kohl, MD
- Interventional Cardiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME46474
- Practice address
- 5151 N 9TH Ave Ste 200
Pensacola, FL 32504-8721 - Phone
- (850) 416-4970
- Fax
- (850) 416-4969
- NPI assigned
- Aug 23, 2005
- Last updated
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ME46474 | FL | Primary |
Addresses
Primary practice location
5151 N 9TH Ave Ste 200
Pensacola, FL 32504-8721
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035039700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME46474 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas Ekg Interpreters Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Morton Plant Mease Health Services Inc | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Cardiology Interpreters Inc | Current | Accepting new patients | |
| St. Anthony's Professional Buildings & Services, Inc | Current | Accepting new patients | |
| Morton Plant Mease Health Services Inc | Current | Accepting new patients | |
| St. Anthony's Professional Buildings & Services, Inc | Current | Accepting new patients | |
| St. Anthony's Professional Buildings & Services, Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758
5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441
900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662
2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000
Interoperability endpoints
- david.kohl.1@9582.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1477887149
-
dba Boi Bardmoor
- Diagnostic Radiology Physician
- Largo, FL
- NPI 1528049962
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1013952977
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
dba BayCare Outpatient Imaging
- Specialist
- St Petersburg, FL
- NPI 1639150063
-
dba Boi Countryside
- Diagnostic Radiology Physician
- Safety Harbor, FL
- NPI 1316576705
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
dba BayCare Outpatient Imaging
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1487908323
-
dba St Anthonys Pet/CT Center
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1699937235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1174516454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 N 9TH AVE STE 200",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048721",
"telephone_number": "850-416-4970",
"fax_number": "850-416-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "DAVID",
"middle_name": "WOLTERS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME46474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035039700",
"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 Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.