Ear Nose & Throat- Head & Neck Surgery of Pensacola PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

ME53420 Issued in FL

Legal business name

EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA

Practice address

5147 N 9TH Ave
Suite 325a
Pensacola, FL 32504-8771

Phone

(850) 475-9025

Fax

(850) 494-7855

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

James Henry Pennington, M.D.

Title

President

Phone

(850) 475-9025

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Jessica Renee Key, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1073143178
  NPD
• Kevin Jonathan Caceres, MD

  • Facial Plastic Surgery Physician
  • South Pasadena, FL
  • NPI 1053739391
  NPD (past)
• Karen Dannheisser, M.A. CCC/A

  • Audiologist
  • Pensacola, FL
  • NPI 1245492438
  NPD (past)
• Tobias J Moreland, PA-C

  • Physician Assistant
  • Pensacola, FL
  • NPI 1114208261
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1932268208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "SUITE 325A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048771",
            "telephone_number": "850-475-9025",
            "fax_number": "850-494-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "SUITE 325A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048771",
            "telephone_number": "850-475-9025",
            "fax_number": "850-494-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-475-9025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME53420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529601510",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379142400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E. Lynn Phillips MD PA (Orthopedic Hospitalist of Pensacola)
• Alyssa Eadler
• Tabatha Jolane Eady
• Eaglemed LLC (EagleMed Air Medical)
• Ryan H Ealum, AGACNP-BC
• Earl J Crosswright MD PA
• Benjamin C Early III
• Matthew Wade Early, MD
• Marilyn D. Earnhardt, RPH
• Lucie Easley, DSW, LCSW

• Otolaryngology/Facial Plastic Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.