Sacred Heart Health System, Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SACRED HEART HEALTH SYSTEM, INC.

Doing business as

Ascension Medical Group Sacred Heart Sub Specialists
Sacred Heart Medical Group Sub-Specialists

Practice address

5225 Carmel Heights Dr
Pensacola, FL 32504-8715

Phone

(850) 475-4620

Fax

(850) 475-4619

NPI assigned

May 12, 2006

Last updated

Feb 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda Hemm

Title

Enrollment Manager

Phone

(904) 450-6004

Specialties & licenses 2

Addresses

Other names 2

• Ascension Medical Group Sacred Heart Sub Specialists Doing business as
• Sacred Heart Medical Group Sub-Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sacred Heart Health System, Inc.

  dba Sacred Heart Medical Group #04

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1306363007

  Member Of

  NPD member

Locations (25 of 26)

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary J Benson, MD

  • Surgery Physician
  • Pensacola, FL
  • NPI 1306867106
  Medicare reassignment Care Compare group NPD
• Susan Howard Culverhouse, M.D.

  • Internal Medicine Physician
  • Port St Joe, FL
  • NPI 1790979813
  Medicare reassignment Care Compare group NPD
• Kunal Pankaj Jani, M.D.

  • Diagnostic Radiology Physician
  • Panama City, FL
  • NPI 1669630216
  Medicare reassignment Care Compare group NPD
• Ludovic M Lasquety, M.D.

  • Surgery Physician
  • Pensacola, FL
  • NPI 1073586129
  Medicare reassignment Care Compare group NPD
• Kyle Leneweaver, DO

  • Trauma Surgery Physician
  • Pensacola, FL
  • NPI 1326434556
  Medicare reassignment Care Compare group NPD
• Orlando Victor Morejon, M.D.

  • Trauma Surgery Physician
  • Pensacola, FL
  • NPI 1821048596
  Medicare reassignment Care Compare group NPD
• Ashley O'Neill, APRN

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1649786179
  Medicare reassignment Care Compare group NPD
• Katherine Ann Parikh, DO

  • Surgical Critical Care Physician
  • Pensacola, FL
  • NPI 1598023574
  Medicare reassignment Care Compare group NPD
• Saul Ahmed Rodriguez, M.D.

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1851672620
  Medicare reassignment Care Compare group NPD
• Meredith Lynn Shaddix, DO

  • Trauma Surgery Physician
  • Pensacola, FL
  • NPI 1154589786
  Medicare reassignment Care Compare group NPD
• Jacob Edward Shelley, ARNP

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1881189140
  Medicare reassignment Care Compare group NPD
• Donovan Scott Stanchio, AGACNP-BC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1437740123
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1902857352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CARMEL HEIGHTS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048715",
            "telephone_number": "850-475-4620",
            "fax_number": "850-475-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CARMEL HEIGHTS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048715",
            "telephone_number": "850-475-4620",
            "fax_number": "850-475-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "HEMM",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "904-450-6004"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group Sacred Heart Sub Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacred Heart Medical Group Sub-Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacred Heart Health System, Inc. (Sacred Heart Medical Group #08)
• Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart Urgent Care)
• Sacred Heart Health System, Inc. (Sacred Heart Hand Center/Sacred Heart Medical Group)
• Sacred Heart Health System, Inc. (Ascension Sacred Heart Pensacola)
• Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
• Sacred Heart Health System, Inc. (Ascension Sacred Heart Pensacola)
• Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
• Sacred Heart Hospital
• Sacred Heart Hospital
• Sacred Heart Hospital - Navy Resource Sharing

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.