NPIMap

Organization Active NPI

Ft. Walton Beach Anesthesia Services LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1245443829
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FT. WALTON BEACH ANESTHESIA SERVICES LLC
Practice address
1000 Marwalt Drive
Attn Allen Kercher
Ft. Walton Beach, FL 32547-6039
Phone
(850) 375-2395
Fax
(866) 471-1940
NPI assigned
May 8, 2007
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Allen W Kercher
Title
Director
Phone
(850) 474-8155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1000 Marwalt Drive
Attn Allen Kercher
Ft. Walton Beach, FL 32547-6039

Mailing address

1000 Marwalt Drive
Attn Allen Kersher
Ft. Walton Beac, FL 32547-6039
Phone (850) 375-2395

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 137

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.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1245443829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MARWALT DRIVE",
            "address_2": "ATTN ALLEN KERSHER",
            "city": "FT. WALTON BEAC",
            "state": "FL",
            "postal_code": "325476039",
            "telephone_number": "850-375-2395",
            "fax_number": "866-417-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARWALT DRIVE",
            "address_2": "ATTN ALLEN KERCHER",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "325476039",
            "telephone_number": "850-375-2395",
            "fax_number": "866-471-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. WALTON BEACH ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "KERCHER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-474-8155"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "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 28, 2009; 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.