Siwicki & Ricciardi,P.L.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1110 & PO2964 Issued in FL

Legal business name

SIWICKI & RICCIARDI,P.L.

Doing business as

Emerald Coast Podiatry & Wound Care Center

Practice address

341 A Racetrack Rd NW
Fort Walton Beach, FL 32547

Phone

(850) 862-4119

NPI assigned

Jun 7, 2006

Last updated

May 5, 2025By 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

Dr. Cosimo A Ricciardi, D.P.M.NPI 1295711968

Title

Ceo

Phone

(850) 862-4119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerald Coast Podiatry & Wound Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Siwicki & Ricciardi,P.L.

  dba Emerald Coast Podiatry & Wound Care Center

  • Podiatrist
  • Crestview, FL
  • NPI 1790961514

  4385647619

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Siwicki & Ricciardi PL

  dba Emerald Coast Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Andalusia, AL
  • NPI 1295197093

  Member Of

  NPD member

Locations

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.

• Cosimo A Ricciardi, D.P.M.

  • Podiatrist
  • Fort Walton Beach, FL
  • NPI 1295711968
  Medicare reassignment Care Compare group Authorized official
• Neil Patel, DPM

  • Podiatrist
  • Crestview, FL
  • NPI 1760936827
  Medicare reassignment Care Compare group NPD
• Robert David Siwicki, D.P.M.

  • Podiatrist
  • Fort Walton Beach, FL
  • NPI 1881670081
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1265472211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 RACETRACK RD NW STE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471788",
            "telephone_number": "850-862-4119",
            "fax_number": "850-862-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 A RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIWICKI & RICCIARDI,P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "COSIMO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-862-4119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1110 & PO2964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340598200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Coast Podiatry & Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerald Coast Podiatry & Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kade Simpson
• Danielle Michelle Sims
• Poorita Mitra Singh, FNP-C
• Katrina Alfreda Intrepido Single, APRN
• John David Sites, M.D.
• Robert David Siwicki, D.P.M.
• Skillsource, Inc.
• Timothy David Skinner, AU.D.
• Sarah Skipper
• Teresa Marie Skojac, MD

• Podiatrist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.