Panhandle Orthopaedics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PANHANDLE ORTHOPAEDICS LLC

Practice address

2401 Langley Ave Unit B
Pensacola, FL 32504-8922

Phone

(850) 407-7840

Fax

(850) 407-7839

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Gilmore, MD

Title

President/Owner

Phone

(850) 407-7840

Specialties & licenses 9

Addresses

Other identifiers 1

Locations

Practitioners 8

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

• David Aponte, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Crestview, FL
  • NPI 1568447761
  NPD (past)
• Laura Stewart Gilmore, P.A.

  • Surgical Physician Assistant
  • Panama City, FL
  • NPI 1912951922
  NPD (past)
• Deborah D Goodwin, PT

  • Physical Therapist
  • Crestview, FL
  • NPI 1992982458
  NPD (past)
• Lindsay W Koppes, DPT

  • Physical Therapist
  • Pensacola, FL
  • NPI 1205149069
  NPD (past)
• Gary Charles Perez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Crestview, FL
  • NPI 1154512358
  NPD (past)
• Crystal M. Barba, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1811278542
  NPD (past)
• Michael Forehand, ARNP

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1730133521
  NPD (past)
• Timothy Wayne Pace, PA

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1518148873

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1902850258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LANGLEY AVE UNIT B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048922",
            "telephone_number": "850-407-7840",
            "fax_number": "850-407-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LANGLEY AVE UNIT B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048922",
            "telephone_number": "850-407-7840",
            "fax_number": "850-407-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-407-7840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "004K2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Downey Counseling LLC
• Panhandle Anesthesiology Associates PA
• Panhandle Cataract and Laser Institute LLC
• Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola
• Panhandle Orthopaedics LLC
• Panhandle Orthopaedics LLC
• Panhandle Outpatient Surgery Center
• Panhandle Pain Management, LLC
• Panhandle Vascular Surgical Specialists
• Panhandle Vision Group Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.