Active NPI
Ellen W McKnight, MD
- Rheumatology Physician
- Pensacola, FL
National Provider Identifier
1659464840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME61717
- Practice address
- 3298 Summit Boulevard
Suite 9
Pensacola, FL 32504 - Phone
- (850) 438-0044
- Fax
- (866) 941-4757
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME61717 | FL | Primary |
Addresses
Primary practice location
3298 Summit Boulevard
Suite 9
Pensacola, FL 32504
Mailing address
3298 Summit Boulevard
Suite 9
Pensacola, FL 32504
Phone (850) 438-0044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000570600 | Medicaid | FL | |
| 1215172572 | Other | GROUP NPI FOR ELLEN W MCKNIGHT MD PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Arthritis and Infusion
- Rheumatology Physician
- Pensacola, FL
- NPI 1215172572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1659464840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3298 SUMMIT BOULEVARD",
"address_2": "SUITE 9",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-438-0044",
"fax_number": "866-941-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3298 SUMMIT BOULEVARD",
"address_2": "SUITE 9",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-438-0044",
"fax_number": "866-941-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "ELLEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME61717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000570600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI FOR ELLEN W MCKNIGHT MD PLLC",
"identifier": "1215172572",
"state": null
}
],
"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 Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.