Unknown Individual – Anesthesiology Physician, NPI 1376535500

Anesthesiology Physician

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Anesthesiology Physician. They hold a License No. ME102566 (FL). The NPI Number for Unknown Individual is 1376535500

Main info

Organization

Inactive

41 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1376535500

Phone

(850) 434-4011

Address

1000 W MORENO ST

Deactivation Date

26 October 2022

Doctor Profile

Medical School Name

EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE

Secondary Phone

8504344011

Graduation Year

1985 (41 years ago)

PAC ID

3476506932

Group Practice PAC ID

6901099688

Professional Enrollment ID

I20150204000821

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

Baptist Hospital, 1000, West Moreno Street, Pensacola, Escambia County, Florida, 32501, United States
PENSACOLA, FL 325012316
Phone: (850) 434-4011
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328919330
Phone: (941) 360-1566
Fax: (941) 358-9818
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6901099688View full group profile

Name	Specialty	State
STEPHEN L. BERKES (MD)	-	FL
DR. JAMES MICHAEL BARRETT (D.O.)	-	AL
DAN L CAREY (MD)	-	FL
JUDY A PURVIS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
MRS. ANNA W NAGGATZ (CRNA)	-	AL
CHRISTY M COUEVAS	Certified Registered Nurse Anesthetist (Crna)	TN
DR. TERESA ANN CHERRY (MD)	A N E S T H E S I O L O G Y	CO
MR. BENJAMIN MICHAEL STEPHENS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	AL
CLINTON ALAN BERRY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
DAVY J DESOTO (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1376535500 — is the standard way to identify this listing.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual's primary classification?

Anesthesiology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Pensacola, Florida in our summary view.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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