Panhandle Vascular Surgical Specialists

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PANHANDLE VASCULAR SURGICAL SPECIALISTS

Practice address

1502 Creighton Rd Ste a
Pensacola, FL 32504-7143

Phone

(850) 437-3777

Fax

(850) 437-3318

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Lincoln Roland, MDNPI 1235365032

Title

Owner

Phone

(850) 437-3777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lincoln Roland, M.D.

  • Vascular Surgery Physician
  • Pensacola, FL
  • NPI 1235365032
  Medicare reassignment NPD Authorized official
• Tessa Roland

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1831817907
  Medicare reassignment NPD
• Matthew Sanders, MD

  • Transplant Surgery Physician
  • Pensacola, FL
  • NPI 1477871218

  Vascular Surgery

  Medicare reassignment NPD
• Lisa M Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1245560150
  Medicare reassignment NPD
• Meagan C. Bachelor, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1346662152
  NPD (past)
• Ann E Duerr, MD

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1639170046
  NPD (past)
• Jennifer Bryant Gronert, CRNA

  • Certified Registered Nurse Anesthetist
  • Gulf Breeze, FL
  • NPI 1932633765
  NPD (past)
• Sean Russell, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
  • NPI 1164791711
  NPD (past)
• Melissa Morris White, CRNA

  • Certified Registered Nurse Anesthetist
  • Claremore, OK
  • NPI 1588970578
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1861929606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047143",
            "telephone_number": "850-437-3777",
            "fax_number": "850-437-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047143",
            "telephone_number": "850-437-3777",
            "fax_number": "850-437-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE VASCULAR SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-437-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panhandle Orthopaedics LLC
• Panhandle Orthopaedics LLC
• Panhandle Orthopaedics LLC
• Panhandle Outpatient Surgery Center
• Panhandle Pain Management, LLC
• Panhandle Vision Group Inc
• Michael A Pannell, PT
• Jaucental Pantlitz
• Elizabeth Leane Papa, M.ED., EDS. LPC LMHC
• Louis Michael Papadelias, D.M.D.

• Vascular Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.