HUGHSTON ORTHOPAEDIC SOUTHEAST PC (NPI# 1376064469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376064469 |
| Entity Type | Organization |
| Organization Name | HUGHSTON ORTHOPAEDIC SOUTHEAST PC |
| Practice Address |
341 Racetrack Rd Nw Ste B Fort Walton Beach FL 32547-1552 |
| Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-3540 |
| Practice Telephone | 8502268112 |
| Practice Fax Number | 8503626068 |
| Mailing Telephone | 7064943193 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | AMANDA FROMKIN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131617 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 6699 Gate Pkwy, Jacksonville, FL 32256-8078 | 2019-02-26 |
| 1386134849 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 720 W Oak St Ste 111, Kissimmee, FL 34741-4990 | 2018-05-10 |
| 1376064451 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 8400 Red Bug Lake Rd Ste 1050, Oviedo, FL 32765-6835 | 2017-06-29 |
| 1659892529 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 4689 Highway 17, Suite 11 & 12, Fleming Island, FL 32003 | 2017-06-30 |
| 1992226088 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 339 Cypress Pkwy Ste 200, Kissimmee, FL 34759-3329 | 2017-06-29 |
| 1568914026 | Hughston Orthopaedic Southeast PC | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2016-11-01 |
| Street Address |
341 RACETRACK RD NW STE B |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053406512 | Anthony Joseph Brothers | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste B, Suite 114, Fort Walton Beach, FL 32547-1552 | 2006-10-03 |
| 1528582434 | Kimberly Grossman | Nurse Practitioner | 341 Racetrack Rd Nw Ste B, Fort Walton Beach, FL 32547 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489683 | Medical Services of America Inc | Durable Medical Equipment & Medical Supplies | 420 Green Acres Rd Ste 1, Fort Walton Beach, FL 32547-1167 | 2020-05-22 |
| 1568027779 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1025 Beal Pkwy Nw Ste B2, Fort Walton Beach, FL 32547-1481 | 2019-05-02 |
| 1548667272 | Scooter Brothers Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 219 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1574 | 2014-11-24 |
| 1891055885 | Medical Logic Ft Walton, Inc. | Durable Medical Equipment & Medical Supplies | 922 Mar Walt Dr Ste 101, Fort Walton Beach, FL 32547-6703 | 2012-05-23 |
| 1730494451 | Coastal Diabetes, LLC | Durable Medical Equipment & Medical Supplies | 12 Miracle Strip Pkwy Se, Suite 102, Fort Walton Beach, FL 32548-5814 | 2010-08-18 |
| 1386962926 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 11 Racetrack Rd Ne Ste E2, Fort Walton Beach, FL 32547-1867 | 2010-05-06 |
| 1386791937 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 18 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-01-05 |
| 1467526517 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 28 Perry Ave Se, Fort Walton Beach, FL 32548-5465 | 2006-11-20 |
| 1194829044 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 434 Racetrack Rd Ne, Fort Walton Beach, FL 32547-3924 | 2006-09-12 |
| 1619982857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 414c Mary Esther Cto Nw, Fort Walton Beach, FL 32548-4060 | 2006-07-29 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on HUGHSTON ORTHOPAEDIC SOUTHEAST PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.