Active NPI
John Thomas Killian, MD
- Orthopaedic Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME143720
- Practice address
- 5153 N 9TH Ave
Pensacola, FL 32504-8785 - Phone
- (850) 416-1575
- Fax
- (850) 416-1302
- NPI assigned
- Mar 10, 2006
- Last updated
- Mar 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9280 | AL | |
| Orthopaedic Surgery Physician | 207X00000X | ME143720 | FL | Primary |
Addresses
Primary practice location
5153 N 9TH Ave
Pensacola, FL 32504-8785
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014
Other practice location 1
36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone (850) 416-1575
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200328000045 | FL | Practitioner - Orthopedic Surgery | 4789626383 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9280 | AL | MD | Orthopaedic Surgery Physician |
| ME143720 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Orthopaedic Specialists of Alabama, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthopaedic Specialists of Alabama PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
Interoperability endpoints
- john.killian@direct.baptistfirst.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1831133586
-
- Orthopaedic Surgery Physician
- Talladega, AL
- NPI 1275843492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1821066390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD 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": "5153 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048785",
"telephone_number": "850-416-1575",
"fax_number": "850-416-1302"
}
],
"practiceLocations": [
{
"address_1": "36500 Emerald Coast Pkwy",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325414713",
"country_code": "US",
"telephone_number": "850-416-1575",
"fax_number": "850-278-3421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLIAN",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "9280",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME143720",
"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 Mar 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.