National Provider Identifier (NPI)
FORT WALTON BEACH


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

FORT WALTON BEACH · 1005 MAR WALT DRIVE · Search Result

NPI Name Taxonomy Address Enumeration
1285628743 Vincent Thomas Jones Radiology 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547-6796 2005-09-09
1841765351 Mallory Hope Maddox Physician Assistant 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2018-10-11
1598299141 Gary James Tackling Internal Medicine 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2017-04-19
1083162457 Heather Lutz Shelton Nurse Practitioner 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547-6796 2016-09-14
1508313180 Stacey Lynn Paradise Nurse Practitioner 1005 Mar Walt Drive, Care Coordination Department, Fort Walton Beach, FL 32547-6796 2016-09-01
1497105118 Alison Harpring Colonna Pediatrics 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547-6707 2016-06-14
1871964502 Dixie Lee Allen Nurse Practitioner 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2015-10-07
1871977173 Philip Frank Alain Jessen Nurse Practitioner 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2015-07-16
1922494657 Christian Constance Blackwell Nurse Practitioner 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2015-04-09
1184026254 Elizabeth Gayle Anderson Nurse Practitioner 1005 Mar Walt Drive, Care Coordination Department, Fort Walton Beach, FL 32547-6796 2014-09-20
1396162657 Gregory James Stepp Family Medicine 1005 Mar Walt Drive, Family Medicine Department, Fort Walton Beach, FL 32547 2014-03-25
1104248251 Deborah Lynn Gilmore Nurse Practitioner 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6796 2014-01-08
1972843902 Melissa Delsid Nurse Practitioner 1005 Mar Walt Drive, Gyn Department, Fort Walton Beach, FL 32547-6796 2013-02-28
1124336839 Chinh Vien Van Family Medicine 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 2010-09-15
1104141928 Connie Marie Slaughter Nurse Practitioner 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2010-04-05
1689998940 Panama City Pulmonary LLC Internal Medicine 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6707 2010-03-16
1457681991 Scott Allen Zastrow Physician Assistant 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2010-01-06
1184952400 Erica Clarkson Nurse Practitioner 1005 Mar Walt Drive, Family Medicine Dept, Fort Walton Beach, FL 32547-6707 2009-11-24
1629304027 Ryann Vanessa Ennis Speech-Language Pathologist 1005 Mar Walt Drive, Otolaryngology Department, Fort Walton Beach, FL 32547-6796 2009-10-20
1245461508 Clarence Michael Hutto Nurse Practitioner 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 2009-08-05
1548498512 Ana May Magdalen Pascual Manuel Family Medicine 1005 Mar Walt Drive, Fort Walton Beach, FL 32547 2009-06-29
1740414465 Luke Simon Olivera Yuhico Internal Medicine 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6796 2009-05-09
1396997227 Kate Elisabeth Silva Physician Assistant 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 2008-10-22
1184872756 James Matthew Reynolds Obstetrics & Gynecology 1005 Mar Walt Drive, Ob/gyn Department, Fort Walton Beach, FL 32547-6796 2008-09-08
1407016579 Yuan Wang Hospitalist 1005 Mar Walt Drive, Hospitalist Department, Fort Walton Beach, FL 32547-6796 2008-06-12
1063696698 Anne Marie Crow Nurse Practitioner 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6796 2007-12-18
1962601815 Kurt Christian Eppley Family Medicine 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 2007-07-12
1679771281 Erica A. George-saintilus Family Medicine 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6707 2007-07-05
1043433022 Timothy David Skinner Audiologist 1005 Mar Walt Drive, Audiology Department, Fort Walton Beach, FL 32547-6707 2007-04-10
1497884415 Naomi Christine Torrance Registered Nurse 1005 Mar Walt Drive, Otolaryngology Department, Fort Walton Beach, FL 32547-6707 2007-03-05
1528133329 Stephanie Ann Blubaugh Physician Assistant 1005 Mar Walt Drive, Family Medicine Department, Fort Walton Beach, FL 32547-6796 2006-11-21
1831260256 Polla Sue Cunningham Internal Medicine 1005 Mar Walt Drive, Administration, Fort Walton Beach, FL 32547-6796 2006-11-10
1861593956 Gary William Mousseau Physician Assistant 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6707 2006-09-25
1366543456 Angel A Nunez Internal Medicine 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FM 32547-6707 2006-09-25
1699875534 Nancy King Nutritionist 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2006-09-22
1992713127 Claudia Marcela Molina Family Medicine 1005 Mar Walt Drive, Family Medicine Department, Fort Walton Beach, FL 32547-6707 2006-08-03
1255355731 Phillip Ashley Pybass Internal Medicine 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6796 2006-07-27
1346270592 John Christopher Chaney Internal Medicine 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6707 2006-07-04
1104868033 Bryan James Smith Internal Medicine 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6796 2006-06-12
1568409324 Sunday Nesbit Laird Physician Assistant 1005 Mar Walt Drive, Nursing Home Department, Fort Walton Beach, FL 32547-6796 2006-06-01
1487620845 John Gerald Chiles Pediatrics 1005 Mar Walt Drive, Pediatrics, Fort Walton Beach, FL 32547-6796 2006-02-27
1740269448 Charles Bradley Arbogast Internal Medicine 1005 Mar Walt Drive, Nephrology Department, Fort Walton Beach, FL 32547-6796 2006-01-11
1235116054 Walter Clifford Rustmann Internal Medicine 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6796 2005-12-22
1588640759 Norman Bull Clinkscales Radiology 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547-6707 2005-12-20
1285610899 Paul Tartarilla Nurse Practitioner 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547-6707 2005-12-16
1790760841 Keith Michael Krist Pediatrics 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 2005-12-13
1265417166 Douglas Winston Rigby Pediatrics 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 2005-12-13
1871578781 Robert Franklin Shelton Pediatrics 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 2005-12-13
1942285036 Melissa Josephine Fischer Internal Medicine 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547 2005-12-12
1205811395 Leslie R Fleischer Internal Medicine 1005 Mar Walt Drive, Cardiology Department, Fort Walton Beach, FL 32547 2005-12-12
1114916756 William Elsworth Gross Otolaryngology 1005 Mar Walt Drive, Otolaryngology Department, Fort Walton Beach, FL 32547-6796 2005-10-17