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BAPTIST MEDICAL GROUP LLC NPI 1376779892


NPI Information

NPI: 1376779892
Provider Name: BAPTIST MEDICAL GROUP LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1717 N E ST
SUITE 227
PENSACOLA, FL
ZIP 32501
Phone: (850) 437-8600
Get Directions

BAPTIST MEDICAL GROUP LLC is a hematology and oncology internal medicine in Pensacola, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. BAPTIST MEDICAL GROUP LLC NPI is 1376779892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1717 N E ST
SUITE 227
PENSACOLA, FL
ZIP 32501-339
Phone: (850) 437-8600
Fax: (850) 437-8601

The provider's authorized official is Sharon L. Creech .
The authorized official title is Delegated Official; Credentials Mgr and has the following contact phone number (850) 475-3726.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 10/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RR0500XInternal MedicineRheumatologyNo
7207VX0201XObstetrics & GynecologyGynecologic OncologyNo
8207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
9207Y00000XOtolaryngologyNo
10208000000XPediatricsNo
11208200000XPlastic SurgeryNo
122085R0001XRadiologyRadiation OncologyNo
132086S0129XSurgeryVascular SurgeryNo
14208800000XUrologyNo
15207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001661700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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