Organization Active NPI

Okaloosa Walton Urology PA

  • Urology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1205804432
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
OKALOOSA WALTON UROLOGY PA
Practice address
1112 Hospital Rd
Unit a
Fort Walton Beach, FL 32547-6655
Phone
(850) 682-6333
NPI assigned
Mar 14, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Helen McCoy
Title
Billing Manager
Phone
(850) 682-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

1112 Hospital Rd
Unit a
Fort Walton Beach, FL 32547-6655

Mailing address

1112 Hospital Rd
Unit a
Fort Walton Beach, FL 32547-6655
Phone (850) 682-6333

National Provider Directory

National Provider Directory

Locations

131 E Redstone Ave
Crestview, FL 32539
Phone (850) 682-5338

1112 Hospital Rd
Ft Walton Bch, FL 32547
Phone (850) 682-6333

1112 Hospital Rd
Unit A
Ft Walton Bch, FL 32547
Phone (850) 682-6333

1001 College Blvd W
Niceville, FL 32578
Phone (850) 678-6735

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1205804432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 HOSPITAL RD",
            "address_2": "UNIT A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476655",
            "telephone_number": "850-682-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 HOSPITAL RD",
            "address_2": "UNIT A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476655",
            "telephone_number": "850-682-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA WALTON UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-682-6333"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2008; 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.