Organization Active NPI

Editha Bielitz Inc

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1760479653
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME65517 Issued in FL
Legal business name
EDITHA BIELITZ INC
Practice address
4400 Bayou Blvd
Ste. 52a
Pensacola, FL 32503
Phone
(850) 476-6060
Fax
(850) 476-6070
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Editha Bielitz, MD
Title
Owner
Phone
(850) 476-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME65517 FL Primary

Addresses

Primary practice location

4400 Bayou Blvd
Ste. 52a
Pensacola, FL 32503

Mailing address

4400 Bayou Blvd
Suite 52a
Pensacola, FL 32503
Phone (850) 476-6060

National Provider Directory

National Provider Directory

Locations

4225 Woodbine Rd
Ste G
Pace, FL 32571
Phone (850) 994-6575

4400 Bayou Blvd
Ste 52A
Pensacola, FL 32503
Phone (850) 476-6060

9400 University Pkwy
Ste 207
Pensacola, FL 32514
Phone (850) 995-9441

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1760479653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "SUITE 52A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-6060",
            "fax_number": "850-476-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "STE. 52A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-6060",
            "fax_number": "850-476-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITHA BIELITZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BIELITZ",
        "authorized_official_first_name": "EDITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME65517",
            "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 Jan 13, 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.