NPIMap

Organization Active NPI

Santa Rosa HB Medical Services, LLC

  • Hospitalist Physician
  • Milton, FL
National Provider Identifier
1619757952
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SANTA ROSA HB MEDICAL SERVICES, LLC
Practice address
6002 Berryhill Rd
Milton, FL 32570-5062
Phone
(850) 626-7762
Fax
(659) 235-6176
NPI assigned
Oct 4, 2023
Organization subpart
Yes
Parent organization
SANTA ROSA HB MEDICAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Wendi Keeton
Title
Sr. Director Hospital Based Program
Phone
(615) 628-6507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

6002 Berryhill Rd
Milton, FL 32570-5062

Mailing address

PO Box 680060
Franklin, TN 37068-0060
Phone (615) 628-6504

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa HB Medical SVCS3 organizations share this tax ID, including this one
Part of
Santa Rosa HB Medical SVCS

Other organizations with this tax ID 2

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": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1619757952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680060",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370680060",
            "telephone_number": "615-628-6504",
            "fax_number": "659-235-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-626-7762",
            "fax_number": "659-235-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA HB MEDICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA ROSA HB MEDICAL SERVICES, LLC",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "SR. DIRECTOR HOSPITAL BASED PROGRAM",
        "authorized_official_telephone_number": "615-628-6507"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.