Emerald Coast Ear, Nose, Throat & Allergies, P.a.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

ME93776 Issued in FL

Legal business name

EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.

Practice address

1032 Mar Walt Dr
Suite 100
Fort Walton Beach, FL 32547-6645

Phone

(850) 796-1368

Fax

(850) 796-2368

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By 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. Joseph Daniel Siefker, MDNPI 1417940339

Title

Doctor

Phone

(850) 796-1368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Joseph Daniel Siefker, M.D.

  • Otolaryngic Allergy Physician
  • Fort Walton Beach, FL
  • NPI 1417940339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265477574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476645",
            "telephone_number": "850-796-1368",
            "fax_number": "850-796-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476645",
            "telephone_number": "850-796-1368",
            "fax_number": "850-796-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEFKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-796-1368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "ME93776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolanta H. Emanuel, PT
• Emerald Coast Audiology PA
• Emerald Coast Bone Densitometry
• Emerald Coast Dentistry
• Emerald Coast Diabetes & Nutrition Center
• Emerald Coast Emergency Physicians LLP
• Emerald Coast Eye Institute LLC
• Emerald Coast Eye Institute, LLC
• Emerald Coast Gastroenterology, PA (Andrew F Ringel MD)
• Emerald Coast Hearing Associates, LLC (Emerald Coast Hearing Associates)

• Health Maintenance Organization in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.