| Ascension Medical Group Sacred Heart Gulf | |
|
5225 Carmel Heights Dr Pensacola FL 32504-8715 | |
| (850) 475-4500 | |
| (850) 475-4771 |
| Full Name | Ascension Medical Group Sacred Heart Gulf |
|---|---|
| Speciality | Family Medicine |
| Location | 5225 Carmel Heights Dr, Pensacola, Florida |
| Authorized Official Name and Position | Miranda Hemm (ENROLLMENT MANAGER) |
| Authorized Official Contact | 9044506004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group Sacred Heart Gulf 4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 Ph: (850) 475-4620 | Ascension Medical Group Sacred Heart Gulf 5225 Carmel Heights Dr Pensacola FL 32504-8715 Ph: (850) 475-4500 |
| NPI Number | 1528336302 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 9830231034 |
|---|---|
| Medicare Enrollment ID | O20120302000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528336302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Stephen Phlaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164460960 PECOS PAC ID: 4486616075 Enrollment ID: I20051205000155 |
| Provider Name | Angela M Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508198300 PECOS PAC ID: 4082741400 Enrollment ID: I20100915000892 |
| Provider Name | Stacy L Harbin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275639254 PECOS PAC ID: 2264326529 Enrollment ID: I20110216000116 |
| Provider Name | Elizabeth F Curry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851403992 PECOS PAC ID: 9931250214 Enrollment ID: I20110330000919 |
| Provider Name | Nancy P Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043228497 PECOS PAC ID: 4688850001 Enrollment ID: I20130102000458 |
| Provider Name | Jennifer Anne Duerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477858603 PECOS PAC ID: 4183859127 Enrollment ID: I20131030000347 |
| Provider Name | Rachel M Bixler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902199979 PECOS PAC ID: 9436375862 Enrollment ID: I20140721002364 |
| Provider Name | Ryan P Pharr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003825423 PECOS PAC ID: 1850498395 Enrollment ID: I20150303000922 |
| Provider Name | Glenn M Mcalpin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710052105 PECOS PAC ID: 9234168386 Enrollment ID: I20151209000588 |
| Provider Name | Brent W Chapman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740240175 PECOS PAC ID: 0143253427 Enrollment ID: I20161116002616 |
| Provider Name | Heather Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326458159 PECOS PAC ID: 8022325620 Enrollment ID: I20170918002197 |
| Provider Name | Lauren J Stipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093133704 PECOS PAC ID: 7810113610 Enrollment ID: I20171023002885 |
| Provider Name | Shiloh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492392 PECOS PAC ID: 4688935943 Enrollment ID: I20180301000007 |
| Provider Name | Richard Petch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457853038 PECOS PAC ID: 1456613447 Enrollment ID: I20180403002698 |
| Provider Name | Steven Sokoloski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609989938 PECOS PAC ID: 1456256973 Enrollment ID: I20200727000267 |
| Provider Name | David Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477991230 PECOS PAC ID: 0345462917 Enrollment ID: I20201215002152 |
| Provider Name | Braden J Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679030852 PECOS PAC ID: 6901147891 Enrollment ID: I20201222000767 |
| Provider Name | Anna Kaitlyn Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801464789 PECOS PAC ID: 8628473220 Enrollment ID: I20210819002568 |
| Provider Name | Katie J Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841922531 PECOS PAC ID: 3870974181 Enrollment ID: I20220718003772 |
| Provider Name | Jeffrey Root |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811175326 PECOS PAC ID: 7113079864 Enrollment ID: I20230606003308 |
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