NPIMap

Organization Active NPI

Panhandle Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
National Provider Identifier
1346865078
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 CenterCCN 10C0001699
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2227014Panhandle Outpatient Surgery Center LLC1502 Creighton Road Suite C, Pensacola, FL 32504Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

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.

Verify at the official NPI Registry.