Internal Medicine Associates of Pensacola, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF PENSACOLA, PA

Practice address

6160 North Davis Hwy
Suite 5
Pensacola, FL 32504-6967

Phone

(850) 471-2121

Fax

(850) 471-2120

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald L. Blackmon Jr., M.D.NPI 1992719421

Title

President

Phone

(850) 471-2121

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Donald L Blackmon Jr., MD

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1992719421
  Authorized official Same address or phone
• Ashley Meredith Weil, M.D.

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1417216623
  NPD
• Andre Zand, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1780606657
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1457540718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 NORTH DAVIS HWY",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 NORTH DAVIS HWY",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF PENSACOLA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-471-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073644",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.