Individual provider Active NPI

Jerrald W Kuenn, MD

  • Hematology & Oncology Physician
  • Pensacola, FL
National Provider Identifier
1750364683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0022832 Issued in FL
Practice address
8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050
Phone
(850) 474-8382
Fax
(850) 474-8149
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0022832 FL Primary
Hematology & Oncology Physician 207RH0003X 18920 AL

Addresses

Primary practice location

8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy
Medical Center Clinic Cancer Institute
Pensacola, FL 32514-6050
Phone (850) 474-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18920ALMDHematology & Oncology Physician
ME0022832FLMDHematology & Oncology Physician
22832FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Past Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750364683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "MEDICAL CENTER CLINIC CANCER INSTITUTE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8382",
            "fax_number": "850-474-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "WEST FLORIDA MEDICAL CENTER CLINIC PA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8382",
            "fax_number": "850-474-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENN",
        "first_name": "JERRALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0022832",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "18920",
            "primary": false
        }
    ],
    "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 Jul 8, 2007; 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.