Individual provider Active NPI

Joshua J Short, MD.PH.D

  • Pediatric Surgery Physician
  • Pensacola, FL
National Provider Identifier
1407060239
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME159179 Issued in FL
Practice address
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone
(850) 416-1575
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME159179 FL Primary

Addresses

Primary practice location

5151 N 9TH Ave
Pensacola, FL 32504-8721

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120820000760 MN Practitioner - Pediatric MedicinePractitioner - General Surgery 8022265420 Reassigns benefits to 1 organization
I20230427001982 FL Practitioner - General Surgery 8022265420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
Pediatric Surgical Associates LTD Pediatric Surgery CurrentSince Jul 11, 2015 Accepting new patients
The Nemours Foundation CurrentSince Aug 23, 2025 Accepting new patients
The Nemours Foundation CurrentSince Aug 23, 2025 Accepting new patients
Childrens Health Care Past Accepting new patients
Gillette Children's Specialty Healthcare PastSince Jul 11, 2015 Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 810-8000

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

347 Smith Ave N
Ste 502
Saint Paul, MN 55102
Phone (651) 248-2113

5354 Edgewood Dr
Saint Paul, MN 55112

Interoperability endpoints

  • Direct secure messaging: joshua.short@psal.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1407060239",
    "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",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "MD.PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME159179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.