NPIMap

Individual provider Active NPI

Eric L Sandwith, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Walton Beach, FL
National Provider Identifier
1174519441
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME90193 Issued in FL
Practice address
1032 Mar Walt Dr
Suite 230
Fort Walton Beach, FL 32547-6661
Phone
(850) 862-3194
Fax
(850) 862-4423
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME90193 FL Primary

Addresses

Primary practice location

1032 Mar Walt Dr
Suite 230
Fort Walton Beach, FL 32547-6661

Mailing address

1032 Mar Walt Dr
Suite 230
Fort Walton Beach, FL 32547-6661
Phone (850) 862-3194

Other identifiers 2

IdentifierTypeStateIssuer
P00777005OtherFLRAILROAD MEDICARE
274071100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001015 FL Practitioner - Thoracic Surgery 5395641526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Florida Multispecialty Physicians LLCGroup PAC ID 5597801779, 16 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (850) 862-1111

1032 Mar Walt Dr
Suite 230
Ft. Walton Beach, FL 32547-6663
Phone (850) 862-3194

1032 Mar Walt Dr
Unit 220
Fort Walton Beach, FL 32547-6661
Phone (850) 374-9610

2202 State Ave
Suite 111
Panama City, FL 32405-4539
Phone (850) 862-2194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)53
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Specialty Physicians LLC CurrentSince Nov 29, 2019 Accepting new patients
Northwest Florida Multispecialty Physicians LLC CurrentSince Oct 1, 2009 Accepting new patients
Ocala Health Surgical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 25, 2025 Accepting new patients
Fort Walton Beach Heart & Lung Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1032 Mar Walt Dr
Unit 230
Ft Walton Bch, FL 32547
Phone (850) 862-3194

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: eric.sandwith@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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 7

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1174519441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 230",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476661",
            "telephone_number": "850-862-3194",
            "fax_number": "850-862-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 230",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476661",
            "telephone_number": "850-862-3194",
            "fax_number": "850-862-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWITH",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME90193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00777005",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274071100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.