NPIMap

Organization Active NPI

Baptist Physician Enterprise LLC

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1477860245
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAPTIST PHYSICIAN ENTERPRISE LLC
Practice address
1717 N E St
Suite 227
Pensacola, FL 32501-6339
Phone
(850) 437-8604
NPI assigned
Sep 1, 2010
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Kent Skolrood
Title
President
Phone
(850) 469-2334

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Rheumatology Physician 207RR0500X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

1717 N E St
Suite 227
Pensacola, FL 32501-6339

Mailing address

1717 N E St
Suite 227
Pensacola, FL 32501-6339
Phone (850) 437-8604

Other identifiers 1

IdentifierTypeStateIssuer
002797300MedicaidFL

National Provider Directory

National Provider Directory
Part of
Baptist Hospital Inc DB

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1717 N E St
Ste 334
Pensacola, FL 32501
Phone (850) 437-8604

3107 N H St
Pensacola, FL 32501
Phone (850) 430-0500

801 W Avery St
Pensacola, FL 32501
Phone (850) 437-8650

9400 University Pkwy
Ste 210
Pensacola, FL 32514
Phone (448) 227-4240

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1477860245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 227",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-437-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 227",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-437-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PHYSICIAN ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HOSPITAL INC",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "SKOLROOD",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-469-2334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002797300",
            "state": "FL"
        }
    ],
    "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 May 9, 2011; 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.