Pensacola Orthopaedics & Sports Medicine, PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

PENSACOLA ORTHOPAEDICS & SPORTS MEDICINE, PA

Practice address

5147 N 9TH Ave
Suite 322
Pensacola, FL 32504-8710

Phone

(850) 474-9995

Fax

(850) 477-6021

NPI assigned

Nov 17, 2005

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charla Turberville

Title

Credentialing Manager

Phone

(850) 474-9995

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Mark T Caylor, MD

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1740289222
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1588646244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "SUITE 322",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048710",
            "telephone_number": "850-474-9995",
            "fax_number": "850-477-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "SUITE 322",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048710",
            "telephone_number": "850-474-9995",
            "fax_number": "850-477-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA ORTHOPAEDICS & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "TURBERVILLE",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "850-474-9995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265146700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914580",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Opco, LLC (Pensacola Nursing & Rehabilitation Center)
• Pensacola Oral and Facial Surgery
• Pensacola Orthotic & Prosthetic Specialties, Inc
• Pensacola Patriot Dental PLLC (Patriot Dental)
• Pensacola Pediatrics PA
• Pensacola Pediatrics, PA
• Pensacola Pediatrics, PA

• Sports Medicine (Orthopaedic Surgery) Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.