Issa E. Ephtimios, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME101155 Issued in FL

Practice address

2411 Executive Plaza Rd
Suite a
Pensacola, FL 32504-8286

Phone

(850) 912-8433

Fax

(850) 912-8584

NPI assigned

Oct 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• West Florida Medical Center Clinic PA

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)
• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1235211335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA RD",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048286",
            "telephone_number": "850-912-8433",
            "fax_number": "850-912-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA RD",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048286",
            "telephone_number": "850-912-8433",
            "fax_number": "850-912-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPHTIMIOS",
        "first_name": "ISSA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME101155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000759100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Enriquez, MD
• Vanessa Enriquez
• Ensley Pharmacy Inc
• ENT Associates of N.W. Florida, PA
• Adeline Enzor
• Costemecker Epps
• Lela Grace Epps
• Lornetta Taylor Epps, M.D.
• Ghada Waleed Eqab
• Zoltan T Erdos, MD

• Infectious Disease Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.