Mghmi

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MGHMI

Practice address

6109 N Davis Hwy
Pensacola, FL 32504-6949

Phone

(850) 741-2251

Fax

(866) 258-9993

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Marcia G Molle

Title

Owner

Phone

(727) 638-9817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Mghmi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mghmi, LLC

  • Podiatrist
  • Pensacola, FL
  • NPI 1215627088
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark S Isenberg, DPM

  • Podiatrist
  • Pensacola, FL
  • NPI 1154328177
  Medicare reassignment NPD
• Agnes Katarzyna Bartoszek, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1558361097
  NPD (past)
• David Christopher Martin, DPM

  • Primary Podiatric Medicine Podiatrist
  • St Petersburg, FL
  • NPI 1245238948
  NPD (past)
• Brooke Michelle Putnam, RN, BSN

  • Registered Nurse
  • Pensacola, FL
  • NPI 1124897491
  NPD (past)
• Kenneth Jarvis, DPM

  • Podiatrist
  • Las Vegas, NV
  • NPI 1497758197
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1629522008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 BAYOU BLVD APT A8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032621",
            "telephone_number": "506-299-3668",
            "fax_number": "866-258-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-741-2251",
            "fax_number": "866-258-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGHMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "MOLLE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-638-9817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon S Mettert, DO
• Clark Stephen Metzger Sr., M.D.
• Janet Metzger
• Robert A. Mevorach, M.D.
• Richard Andrew Meyerholz, M.D.
• Mghmi, LLC
• Munira T Mian, M.D.
• Michael L Dupuis MD PA
• Michael P Conrad MD PA
• Michael V Riesberg MD Otolaryngology & Performing Arts Medicine

• Foot & Ankle Surgery Podiatrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.