Organization Active NPI

Nilssen Orthopedics P a

  • Orthopaedic Foot and Ankle Surgery Physician
  • Pensacola, FL
National Provider Identifier
1740426238
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
ME99816 Issued in FL
Legal business name
NILSSEN ORTHOPEDICS P A
Practice address
825 E Burgess Rd
Pensacola, FL 32504-7001
Phone
(850) 435-4800
Fax
(850) 916-8629
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Erik C Nilssen, MD
Title
President
Phone
(850) 916-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X ME99816 FL Primary

Addresses

Primary practice location

825 E Burgess Rd
Pensacola, FL 32504-7001

Mailing address

1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Phone (850) 916-3700

National Provider Directory

National Provider Directory

Locations

1040 Gulf Breeze Pkwy
Ste 208
Gulf Breeze, FL 32561
Phone (850) 473-9434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1740426238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY",
            "address_2": "SUITE 200",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617809",
            "telephone_number": "850-916-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E BURGESS RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047001",
            "telephone_number": "850-435-4800",
            "fax_number": "850-916-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILSSEN ORTHOPEDICS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "NILSSEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-916-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME99816",
            "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 28, 2017; 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.