Baptist Physician Group LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

BAPTIST PHYSICIAN GROUP LLC

Practice address

133 Racetrack Rd NW
Fort Walton Beach, FL 32547-1644

Phone

(850) 916-8700

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By 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

Sharon L Creech

Title

Credentials Manager

Phone

(850) 475-3726

Specialties & licenses 1

Addresses

Tax ID family

Baptist Physician Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baptist Physician Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1720322811
  NPD tax ID

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1730740218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031532",
            "telephone_number": "850-475-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471644",
            "telephone_number": "850-916-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "850-475-3726"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jos J Bakker, DDS
• Wendy Ballasch, LMT
• Anna Ballow
• Shanna Balzamo, PHARMD
• Baptist Medical Group LLC
• Jared Bargers, SLP
• William Wilson Barnawell, CRNA
• Alison Barnes, PT
• Barnett Facial Plastic & Reconstructive Surgery, PA.
• Austin T Barnett, DO

• Sports Medicine (Orthopaedic Surgery) Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.