Individual provider Active NPI

Robert Amacker, PA

  • Surgical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1457316937
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1606 Issued in FL
Practice address
6000 W Highway 98
Naval Hospital Pensacola
Pensacola, FL 32512-0003
Phone
(850) 452-8970
Fax
(850) 452-8978
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1606 FL Primary

Addresses

Primary practice location

6000 W Highway 98
Naval Hospital Pensacola
Pensacola, FL 32512-0003

Mailing address

6000 W Highway 98
Naval Hospital Pensacola
Pensacola, FL 32512-0003
Phone (850) 452-8970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000293 FL Order and Referring Only - Physician Assistant 1254511256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1606FLMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1457316937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "address_2": "NAVAL HOSPITAL PENSACOLA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120003",
            "telephone_number": "850-452-8970",
            "fax_number": "850-452-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "address_2": "NAVAL HOSPITAL PENSACOLA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120003",
            "telephone_number": "850-452-8970",
            "fax_number": "850-452-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMACKER",
        "first_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.