Active NPI
Kurt T Stockamp, M.D.
- Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME64368
- Practice address
- 5147 N 9TH Ave
Ste. 203
Pensacola, FL 32504-8771 - Phone
- (850) 476-6110
- Fax
- (850) 479-6042
- NPI assigned
- Feb 9, 2006
- Last updated
- Jan 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME64368 | FL | Primary |
Addresses
Primary practice location
5147 N 9TH Ave
Ste. 203
Pensacola, FL 32504-8771
Mailing address
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59101757 | Other | AL | BCBS |
| 18969 | Other | FL | BCBS |
| 009935384 | Other | AL | AL MEDICAID |
| 372995800 | Other | FL | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5153 N 9TH Ave STR
305 Sacred Heart Medical Group
Pensacola, FL 32504-5719
Phone (850) 416-6159
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Novo Plastic Surgery LLC | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5147 N 9th Ave
Ste 203
Pensacola, FL 32504
Phone (850) 476-6110
5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250
Interoperability endpoints
- kurt.stockamp.1@9582.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Sacred Heart Sub Specialists
- Neurological Surgery Physician
- Pensacola, FL
- NPI 1902857352
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Surgery Physician
- Pensacola, FL
- NPI 1235149048
-
- Plastic and Reconstructive Surgery Physician
- Pensacola, FL
- NPI 1740674464
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1811960958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD",
"address_2": "STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6014",
"fax_number": "904-450-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 N 9TH AVE",
"address_2": "STE. 203",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048771",
"telephone_number": "850-476-6110",
"fax_number": "850-479-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKAMP",
"first_name": "KURT",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME64368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59101757",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18969",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL MEDICAID",
"identifier": "009935384",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "372995800",
"state": "FL"
}
],
"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 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.