Organization Active NPI

Hilton S Weiner MD

  • Skilled Nursing Facility
  • Fort Walton Beach, FL
National Provider Identifier
1215672720
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HILTON S WEINER MD
Practice address
1001 Mar Walt Dr
Fort Walton Beach, FL 32547-6780
Phone
(912) 996-7955
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Kelly Bruce
Title
Biller
Phone
(912) 996-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1001 Mar Walt Dr
Fort Walton Beach, FL 32547-6780

Mailing address

124 Miracle Strip Pkwy SW
Fort Walton Beach, FL 32548-6650
Phone (912) 996-7955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1215672720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MIRACLE STRIP PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486650",
            "telephone_number": "912-996-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476780",
            "telephone_number": "912-996-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON S WEINER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "912-996-7955"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "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 Apr 29, 2022; 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.