NPIMap

Organization Active NPI

Pensacola Primary Care Inc

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1467434860
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 5154 Issued in FL
Legal business name
PENSACOLA PRIMARY CARE INC
Practice address
6431 North 'W' Street
Pensacola, FL 32505
Phone
(850) 474-3660
Fax
(850) 474-3659
NPI assigned
Nov 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Michael E Kasabian, D.O.
Title
D.O.
Phone
(850) 474-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS 5154 FL Primary

Addresses

Primary practice location

6431 North 'W' Street
Pensacola, FL 32505

Mailing address

6431 North 'W' Street
Pensacola, FL 32504
Phone (850) 474-3660

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Primary Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1467434860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 NORTH 'W' STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "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 NORTH 'W' STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32505",
            "telephone_number": "850-474-3660",
            "fax_number": "850-474-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KASABIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "850-474-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.