Individual provider Active NPI

Jerry A Suelflow, MD

  • Ophthalmology Physician
  • Pensacola, FL
National Provider Identifier
1467435156
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0058347 Issued in FL
Practice address
8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050
Phone
(850) 474-8436
Fax
(850) 474-8285
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0058347 FL Primary
Ophthalmology Physician 207W00000X 17550 AL

Addresses

Primary practice location

8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy
Medical Center Clinic Ophthalmology
Pensacola, FL 32514-6050
Phone (850) 474-8100

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
I20100105000372 FL Practitioner - Ophthalmology 0143361766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17550ALMDOphthalmology Physician
ME0058347FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic, PA CurrentSince Aug 6, 1990 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Interoperability endpoints

  • Direct secure messaging: jerrysuelflow@medcenterclinic.direct.emds.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1467435156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "MEDICAL CENTER CLINIC OPHTHALMOLOGY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "WEST FLORIDA MEDICAL CENTER CLINIC PA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8436",
            "fax_number": "850-474-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUELFLOW",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0058347",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "17550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.