Organization Active NPI

Recovery Room- Immediate Care

  • General Practice Physician
  • Fort Walton Beach, FL
National Provider Identifier
1083905178
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RECOVERY ROOM- IMMEDIATE CARE
Practice address
2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352
Phone
(850) 863-3000
Fax
(850) 863-3000
NPI assigned
Apr 25, 2011
Organization subpart
Yes
Parent organization
NW FL LUNG ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Michael J. Given, MD
Title
Doctor
Phone
(850) 863-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352

Mailing address

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352
Phone (850) 863-3000

Other identifiers 1

IdentifierTypeStateIssuer
252347700MedicaidFL

National Provider Directory

National Provider Directory
Part of
NW Florida Lung Associates

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1083905178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471352",
            "telephone_number": "850-863-3000",
            "fax_number": "850-862-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471352",
            "telephone_number": "850-863-3000",
            "fax_number": "850-863-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ROOM- IMMEDIATE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NW FL LUNG ASSOCIATES, PA",
        "enumeration_date": "2011-04-25",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-863-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252347700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.