Sleep Disorder Center Ft Walton Beach Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP DISORDER CENTER FT WALTON BEACH INC

Practice address

151 Mary Esther Blvd Ste 203
Mary Esther, FL 32569-1985

Phone

(850) 689-5496

Fax

(850) 689-5497

NPI assigned

Jul 19, 2006

Last updated

Sep 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve A Rodgers, RPSGT

Title

Lab Supervisor

Phone

(850) 689-5496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roman Kesler, DO

  • Neurology Physician
  • Pensacola, FL
  • NPI 1730163114
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1164441309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E PINE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392818",
            "telephone_number": "850-689-5496",
            "fax_number": "850-689-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD STE 203",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691985",
            "telephone_number": "850-689-5496",
            "fax_number": "850-689-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDER CENTER FT WALTON BEACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LAB SUPERVISOR",
        "authorized_official_telephone_number": "850-689-5496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenelle Segno
• Haleigh Kaitlyn Short, RBT
• Ana Simmons, D.C.
• Laura Ann Simmons, PHARMD
• Joseph P. Skelly, M.S., L.M.H.C.
• Sara Smidt
• Timothy B. Smith, H.A.S.
• Southeastern Interventional Pain Physicians, P.a. (Emerald Coast Pain Physicians)
• Niki Lee Spears, RBT
• Gregory Paul Staviski, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.