Sacred Heart Hospital on the Emerald Coast

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SACRED HEART HOSPITAL ON THE EMERALD COAST

Doing business as

Sacred Heart Medical Group at Panama City

Practice address

4451 Bayou Blvd
Pensacola, FL 32503-2601

Phone

(850) 475-4500

Fax

(850) 475-4771

NPI assigned

May 12, 2006

Last updated

Apr 11, 2012By 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

Mrs. Jan Foley

Title

Hpe Specialist

Phone

(850) 475-4620

Specialties & licenses 1

Addresses

Other names 1

• Sacred Heart Medical Group at Panama City Doing business as

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1659322006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "HEALTHPLAN ENROLLMENT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4620",
            "fax_number": "850-475-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOSPITAL ON THE EMERALD COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "HPE SPECIALIST",
        "authorized_official_telephone_number": "850-475-4620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Medical Group at Panama City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.