John Axley M D P a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME20237 Issued in FL

Legal business name

JOHN AXLEY M D P A

Practice address

4400 Bayou Blvd Ste 43
Pensacola, FL 32503-1910

Phone

(850) 477-3015

Fax

(850) 477-3026

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

John Axley

Title

M.D.

Phone

(850) 477-3015

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1912070293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 43",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031910",
            "telephone_number": "850-477-3015",
            "fax_number": "850-477-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 43",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031910",
            "telephone_number": "850-477-3015",
            "fax_number": "850-477-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN AXLEY M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "AXLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "850-477-3015"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME20237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PTAN",
            "identifier": "DE7927",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918810",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Massey Psy D
• Joanne L Bujnoski DO PA
• Jocelyn E Leveque MD PA
• Yvonne Jockers, CRNA
• John a Tucker M D P a
• John C. Gilmore, Jr., D.M.D., P.a.
• John G Brown P a
• John H Brown Jr MD PC
• John Imm Prosthetics, LLC
• John L. Luetkemeyer, M.D.

• Neurology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.