Sacred Heart Health System, Inc.
Organization Active NPI Neurological Surgery Physician · Pensacola, FL
NPI 1902857352 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1902857352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- SACRED HEART HEALTH SYSTEM, INC.
- Practice address
- 5225 Carmel Heights Dr
Pensacola, FL 32504-8715 - Phone
- (850) 475-4620
- Fax
- (850) 475-4619
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Miranda Hemm
- Title
- Enrollment Manager
- Phone
- (904) 450-6004
Member of 1
Practitioners 123
-
Mary J Benson, MD
-
Susan Howard Culverhouse, M.D.
-
Kunal Pankaj Jani, M.D.
-
Ludovic M Lasquety, M.D.
-
Kyle Leneweaver, DO
-
Orlando Victor Morejon, M.D.
-
Ashley O'Neill, APRN
-
Saul Ahmed Rodriguez, M.D.
-
Jacob Edward Shelley, ARNP
-
Donovan Scott Stanchio, AGACNP-BC
-
Kurt T Stockamp, M.D.
-
Ryan Paul Hawks, M.D.
-
David J. Kaderis, D.O.
-
Nancy Phipps Anderson, CRNP
-
Cinderella B Aquino, M.D.
-
Maria A Carmona-Gonzalez, M.D.
-
Felix Ermolenko, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713000147 | FL | Part B Supplier - Clinic/Group Practice | 5799763074 |
Receives reassigned benefits from 49 practitioners Practice locations: Pensacola, FL; Miramar Beach, FL; Gulf Breeze, FL |
National Provider Directory
Locations
1369 W Main St
#2
Dothan, AL 36301
1851 N McKenzie St
Ste 203
Foley, AL 36535
Phone (251) 677-6825
6345 Airport Blvd
Mobile, AL 36608
550 Redstone Ave W
Ste 200B
Crestview, FL 32536
Phone (850) 416-2554
550 Redstone Ave W
Ste 200A
Crestview, FL 32536
Phone (850) 682-0383
3616 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 934-0110
1577 Roberts Dr
Ste 329
Jacksonville Beach, FL 32250
12111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-7497
5153 N 9th Ave
Ste 202
Pensacola, FL 32504
Phone (850) 416-6933
5147 N 9th Ave
Ste 1036
Pensacola, FL 32504
5153 N 9th Ave
#201202
Pensacola, FL 32504
4551 N Davis Hwy
Ste C
Pensacola, FL 32503
Phone (850) 473-2772
5151 N 9th Ave
Ste 305
Pensacola, FL 32504
5147 N 9th Ave
Ste 103B
Pensacola, FL 32504
4551 N Davis Hwy
Pensacola, FL 32503
Phone (850) 464-9001
3871 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5661
7525 Greenway Center Dr
Ste 20
Greenbelt, MD 20770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Maternal & Fetal Medicine Physician |
207VM0101X |
Addresses
Primary practice location
5225 Carmel Heights Dr
Pensacola, FL 32504-8715
Mailing address
5225 Carmel Heights Dr
Pensacola, FL 32504-8715
Phone (850) 475-4620
Other names
- Ascension Medical Group Sacred Heart Sub Specialists
- Sacred Heart Medical Group Sub-Specialists
Other providers in Pensacola, FL
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All providers in Pensacola, FL · Neurological Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.