Individual provider Active NPI

Richard Dawson Hawthorne, D.O.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1427355601
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11833 Issued in FL
Practice address
6431 N W St
Pensacola, FL 32505-1719
Phone
(850) 474-3660
Fax
(850) 474-3659
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11833 FL Primary

Addresses

Primary practice location

6431 N W St
Pensacola, FL 32505-1719

Mailing address

6431 N W St
Pensacola, FL 32505-1719
Phone (850) 474-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000263 FL Practitioner - Family Practice 3072798982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Primary Care IncGroup PAC ID 6002718343, 21 clinicians

Practice addresses (Care Compare)

1190 E Nine Mile Rd
West Florida Primary Care Nine Mi
Pensacola, FL 32514-1651
Phone (850) 857-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11833FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Pensacola Primary Care Inc Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Pensacola Primary Care, Inc. Past Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

6431 N W St
Pensacola, FL 32505
Phone (850) 474-3660

Interoperability endpoints

  • Direct secure messaging: richard.hawthorne@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1427355601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051719",
            "telephone_number": "850-474-3660",
            "fax_number": "850-474-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051719",
            "telephone_number": "850-474-3660",
            "fax_number": "850-474-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "RICHARD",
        "middle_name": "DAWSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.