Michael L Shawbitz M D P a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0038803 Issued in FL

Legal business name

MICHAEL L SHAWBITZ M D P A

Practice address

1034 Mar Walt Dr
Suite 100
Fort Walton Beach, FL 32547-6639

Phone

(850) 863-2153

Fax

(850) 315-9350

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dawn L Loper

Title

Business Office Analyst

Phone

(850) 315-9211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1144462110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "SUITE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-863-2153",
            "fax_number": "850-315-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "SUITE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-863-2153",
            "fax_number": "850-315-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L SHAWBITZ M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "LOPER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE ANALYST",
        "authorized_official_telephone_number": "850-315-9211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0038803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065692500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl Walter Metz, M.D.
• Melissa Meyers
• MH Health Care Services, PC
• Michael a Fregger PA
• Michael H. Hennessey, MD, PA
• Marla D Michaels, M.D.
• Catherine Rose Michas, PH.D.
• Elizabeth Ann Michas, PH.D.
• Michas, Valentine & Gill, Psychiatric Associates, P.a.
• Michelle Wildman, Occupational Therapist, P.a.

• Neurology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.