Ochsner 65 Plus Pensacola - University, L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCHSNER 65 PLUS PENSACOLA - UNIVERSITY, L.L.C.

Practice address

5998 Mobile Hwy Ste 7
Pensacola, FL 32526-1873

Phone

(850) 558-4670

Fax

(850) 558-4671

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Duncan

Title

Ceo

Phone

(850) 558-4665

Specialties & licenses 1

Addresses

Other names 1

• Ochsner 65 Plus- Bellview Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ochsner 65 Plus Pensacola - University, L.L.C.

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1962111005

  O20230317002610

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

Practitioners 8

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

• Kenneth L Bull, MD

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1356602114
  NPD
• Juanita R Fleming, MD

  • Adult Medicine Physician
  • Pensacola, FL
  • NPI 1740406289
  NPD
• Megan Gupta

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1184204190
  NPD
• Rebecca Broschart, D.O.

  • Family Medicine Physician
  • Leesburg, GA
  • NPI 1205824869
  NPD
• William Robert Gailmard, M.D.

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1124022884
  NPD
• Rachael Kermis, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1265886303
  NPD
• Brandon Mark McElroy, MD

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1740620657

  Internal Medicine

  NPD
• Tina Anne Marie Shenouda, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1326386996
  NPD

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1689437535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 MOBILE HWY STE 7",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 MOBILE HWY STE 7",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261873",
            "telephone_number": "850-558-4670",
            "fax_number": "850-558-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER 65 PLUS PENSACOLA - UNIVERSITY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-558-4665"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner 65 Plus- Bellview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Michael Oberhausen, D.M.D.
• Susan Marie Obert, PTA
• Ocala Anesthesia Ams LLC
• Occupational Health Centers of the Southwest P.a.
• Ocean Wounds FL PLLC
• Ochsner 65 Plus Pensacola - University, L.L.C.
• Mark Odell, LMHC
• Angela Ifeoma Odezulu, D.O.
• Amy N. Odom, DPT
• Katelyn Marie Odom, LMHC

• All providers in Pensacola, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.