Active NPI
Panhandle Outpatient Surgery Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
National Provider Identifier
1346865078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PANHANDLE OUTPATIENT SURGERY CENTER
- Practice address
- 1502 Creighton Rd Ste C
Pensacola, FL 32504-7143 - Phone
- (561) 630-6277
- Fax
- (561) 630-6062
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl Thorpe
- Title
- Director of Operations
- Phone
- (804) 814-4378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1502 Creighton Rd Ste C
Pensacola, FL 32504-7143
Mailing address
1502 Creighton Rd Ste C
Pensacola, FL 32504-7143
Phone (850) 876-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200921001352 | FL | Part B Supplier - Ambulatory Surgical Center | 7911325188 | Practice locations: Pensacola, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Panhandle Outpatient Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2227014 | Panhandle Outpatient Surgery Center LLC | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1457579435
-
- Orthopaedic Foot and Ankle Surgery Physician
- Melbourne, FL
- NPI 1477757060
-
- Sports Medicine (Family Medicine) Physician
- Gulf Breeze, FL
- NPI 1225020936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1346865078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 CREIGHTON RD STE C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047143",
"telephone_number": "850-876-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 CREIGHTON RD STE C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047143",
"telephone_number": "561-630-6277",
"fax_number": "561-630-6062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANHANDLE OUTPATIENT SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "THORPE",
"authorized_official_first_name": "KARL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "804-814-4378"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Panhandle Cataract and Laser Institute LLC
- Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola
- Panhandle Orthopaedics LLC
- Panhandle Orthopaedics LLC
- Panhandle Orthopaedics LLC
- Panhandle Pain Management, LLC
- Panhandle Vascular Surgical Specialists
- Panhandle Vision Group Inc
- Michael A Pannell, PT
- Jaucental Pantlitz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.