Organization Active NPI

Center for Autonomic Disorders Inc

  • Medical Specialty Clinic/Center
  • Pensacola, FL
National Provider Identifier
1710250048
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 53590 Issued in FL
Legal business name
CENTER FOR AUTONOMIC DISORDERS INC
Practice address
6706 N 9TH Ave
Suite a-3
Pensacola, FL 32504-9303
Phone
(850) 476-8200
Fax
(850) 476-8282
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Charles R Thompson, M.D.
Title
PST
Phone
(850) 476-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 53590 FL Primary

Addresses

Primary practice location

6706 N 9TH Ave
Suite a-3
Pensacola, FL 32504-9303

Mailing address

6706 N 9TH Ave
Suite a-3
Pensacola, FL 32504-9303
Phone (850) 476-8200

National Provider Directory

National Provider Directory

Locations

6706 N 9th Ave
Ste A3
Pensacola, FL 32504
Phone (850) 476-8200

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1710250048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 N 9TH AVE",
            "address_2": "SUITE A-3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049303",
            "telephone_number": "850-476-8200",
            "fax_number": "850-476-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 N 9TH AVE",
            "address_2": "SUITE A-3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049303",
            "telephone_number": "850-476-8200",
            "fax_number": "850-476-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AUTONOMIC DISORDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PST",
        "authorized_official_telephone_number": "850-476-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 53590",
            "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 Feb 16, 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.