JOSEPH R AGOSTINELLI DPM PA (NPI# 1528100088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528100088 |
| Entity Type | Organization |
| Organization Name | JOSEPH R AGOSTINELLI DPM PA |
| Practice Address |
1034 Mar Walt Dr Ste 100 Fort Walton Beach FL 32547-6645 |
| Practice Telephone | 8508632153 |
| Practice Fax Number | 8503159350 |
| Mailing Telephone | 8508632153 |
| Mailing Fax Number | 8503159350 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | JOSEPH R AGOSTINELLI (PHYSICIAN) |
| Authorized Official Telephone | 8508632153 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO0002643 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BS PROVIDER NUMBER | 65837 | 01 |
| FL | 340506100 | 05 |
| Street Address |
1034 MAR WALT DR STE 100 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305484 | Theodore I Macey | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 1861658338 | John C Warburton Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2008-08-04 |
| 1396887204 | William R Marshall Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-14 |
| 1336281773 | Mark J Tenholder Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-13 |
| 1568504173 | Jason W Thackeray Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-12 |
| 1174665830 | Theodore I Macey Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-12 |
| 1033114426 | William R Marshall | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-14 |
| 1932103397 | Joseph R Agostinelli | Podiatrist | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 1407850878 | Mark J Tenholder | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801187307 | Francia Tatiana Squatrito | Podiatrist | 1775 Lewis Turner Blvd Ste 101, Fort Walton Beach, FL 32547-1277 | 2011-05-02 |
| 1548626815 | Bay Foot and Ankle Center Pa | Podiatrist | 1775 Lewis Turner Blvd Ste 101, Fort Walton Beach, FL 32547-1277 | 2016-01-02 |
| 1407150915 | Paul J Kalin | Podiatrist | 1013 Mar Walt Dr, Suite A, Fort Walton Beach, FL 32547-6723 | 2010-12-28 |
| 1467687350 | Thomas Arthur Fusco | Podiatrist | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-05-20 |
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| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on JOSEPH R AGOSTINELLI DPM PA.
| 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.