Organization Active NPI

Robert Sackheim,M.D.

  • Interventional Pain Medicine Physician
  • Pensacola, FL
National Provider Identifier
1689031619
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME0042339 Issued in FL
Legal business name
ROBERT SACKHEIM,M.D.
Practice address
4601 N 9TH Ave
Pensacola, FL 32503-2443
Phone
(850) 637-4645
Fax
(850) 433-8641
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Marlene Sackheim
Title
Administrator
Phone
(850) 637-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME0042339 FL Primary

Addresses

Primary practice location

4601 N 9TH Ave
Pensacola, FL 32503-2443

Mailing address

4601 N 9TH Ave
Pensacola, FL 32503-2443
Phone (850) 637-4645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1689031619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032443",
            "telephone_number": "850-637-4645",
            "fax_number": "850-433-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032443",
            "telephone_number": "850-637-4645",
            "fax_number": "850-433-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SACKHEIM,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "SACKHEIM",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-637-4645"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0042339",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2016; 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.