Philip E Renfroe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006343 Issued in FL

Practice address

5330 N Davis Hwy
Pensacola, FL 32503-2006

Phone

(850) 477-8874

Fax

(850) 477-8865

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Association of Healthcare Providers IncGroup PAC ID 4789772302, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southeast Association of Healthcare Providers Inc

  • Chiropractor
  • Pensacola, FL
  • NPI 1942344106
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1831283654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-477-8874",
            "fax_number": "850-477-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-477-8874",
            "fax_number": "850-477-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0562971-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Southeast, LP.
• Nicole Kristen Rendos Speer, PHD, LAT, ATC, CSCS
• Renfreo Spinal Center
• Renfroe Spinal Center LLC
• John Mark Renfroe, D.C.
• Daniel Frank Rentz, DDS, MSD
• Isaiah Elijah Aspra Requintina, PT, DPT
• Cristina Lynn Resczenski, DO
• Resilience ABA & Consultation
• Resilience Psychiatry, LLC

• Chiropractor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.