SACRED HEART MEDICAL GROUP #04 – NPI #1306363007
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

SACRED HEART MEDICAL GROUP #04 is an orthopaedic surgeon located in PENSACOLA, FL. NPPES has assigned the NPI number 1306363007 to SACRED HEART MEDICAL GROUP #04 on August 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SACRED HEART MEDICAL GROUP #04” is a dba name, the actual legal business name for this organization is SACRED HEART HEALTH SYSTEM, INC.. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 5 years ago on May 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SACRED HEART MEDICAL GROUP #04 below.

NPI Profile for
SACRED HEART HEALTH SYSTEM, INC.

NPI Number
1306363007
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SACRED HEART HEALTH SYSTEM, INC.
Doing Business As (dba): SACRED HEART MEDICAL GROUP #04
Primary location
4521 N DAVIS HWY
PENSACOLA, FL 32503-2770
Phone: (850) 494-9002 Fax: (850) 477-3912
Mailing address
PO BOX 2699
ATTN: HPE
PENSACOLA, FL 32513-2699
Phone: (850) 475-4620 Fax: (850) 475-4619
Organization Subpart
Yes - SACRED HEART MEDICAL GROUP #04 is subpart of another organization.
Authorized Official
MIRANDA HEMM
ENROLLMENT MANAGER
Phone: (904) 450-6004
Updated
Certification Date
May 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.