Pensacola Spine and Sports Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS13075 Issued in FL

Legal business name

PENSACOLA SPINE AND SPORTS MEDICINE

Practice address

6792 Leepard Rd
Milton, FL 32583-3343

Phone

(970) 217-1739

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Eric Shoemaker, D.O.

Title

Physician

Phone

(970) 217-1739

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1306200860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6792 LEEPARD RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325833343",
            "telephone_number": "970-217-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6792 LEEPARD RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325833343",
            "telephone_number": "970-217-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA SPINE AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-217-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS13075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14406200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pensacola Nephrology, PA
• Pensacola Nephrology, PA
• Pensacola Pediatrics PA
• Pensacola Pediatrics PA
• Pensacola Primary Care Inc
• Shannon Pereira, NP
• Melissa L Perritt, LMT
• Ainza Perry, APRN
• Debra Lynn Perry, MD
• Richard Perry

• Physical Medicine & Rehabilitation Physician in Milton, FL
• Providers in Milton, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.