Pensacola Emergency Physicians, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PENSACOLA EMERGENCY PHYSICIANS, LLC

Practice address

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884

Phone

(850) 434-4011

NPI assigned

Mar 2, 2011

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim H Larsen

Title

Director of Credentialing

Phone

(770) 874-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pensacola Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1801841473

  O20041008000951

  Same enrollment

Practitioners 136

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.

• Levi Abell, APRN

  • Nurse Practitioner
  • Gulf Breeze, FL
  • NPI 1689325722
  NPD
• Abidemi Olaoye Ajibola, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1023732609
  NPD
• Samir Jose Alliss, D.O.

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1811048689
  NPD
• Jason Ballard

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1275074510
  NPD
• Kristen Rushell Ballard, ARNP

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1699116152
  NPD
• Christy H Barkhuizen, DO

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1457306235
  NPD
• Elizabeth Beaty

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1699491498
  NPD
• Bradley Charles Bernard

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1518166263
  NPD
• Matthew William Berrios, D.O.

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1689014920
  NPD
• Jerisa Berry, D.O.

  • Emergency Medicine Physician
  • Greenacres, FL
  • NPI 1679760045
  NPD
• Shelly Anne Birch, MD

  • Emergency Medicine Physician
  • Daytona Beach, FL
  • NPI 1548617038
  NPD
• Mitchell Brantley

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1144320540
  NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1427356393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21203",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154109",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614884",
            "telephone_number": "850-434-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "770-874-5400"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oksana Peery
• Chelsea Peitz, RD
• Karen Pennington, M.D.
• Mellissa Dianne Pennington, CRNA
• Robert Lance Pennington, CRNA
• Pensacola Hospitalist Physicians, LLC
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Pediatrics PA
• Perdido Rentals, LLC (Quality Medical Consulting)

• Emergency Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.