Individual provider Active NPI

Alexander J Knurr, MD

  • Anesthesiology Physician
  • Ft Walton Beach, FL
National Provider Identifier
1073591756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME63141 Issued in FL
Practice address
1000 Mar Walt Dr
Ft Walton Beach Anesthesia LLC
Ft Walton Beach, FL 32547-6708
Phone
(850) 474-8100
Fax
(850) 474-8083
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME63141 FL Primary
Anesthesiology Physician 207L00000X 15322 AL

Addresses

Primary practice location

1000 Mar Walt Dr
Ft Walton Beach Anesthesia LLC
Ft Walton Beach, FL 32547-6708

Mailing address

8201 University Pkwy
Ft Walton Beach Anesthesia LLC
Pensacola, FL 32514-4904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060607000296 FL Practitioner - Anesthesiology 9234141359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 650-6271

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15322ALMDPharmacist
ME63141FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Feb 1, 2008 Accepting new patients
Sheridan Healthcorp, Inc Anesthesiology CurrentSince Feb 1, 2008 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Anesthesia Services PC Anesthesiology Past Accepting new patients
Fort Walton Beach Anesthesia LLC Anesthesiology Past Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Anesthesiology Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073591756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 UNIVERSITY PKWY",
            "address_2": "FT WALTON BEACH ANESTHESIA LLC",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "address_2": "FT WALTON BEACH ANESTHESIA LLC",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNURR",
        "first_name": "ALEXANDER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME63141",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "15322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.