Mark J Tenholder MD PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME89699 Issued in FL

Legal business name

MARK J TENHOLDER MD PA

Practice address

1034 Mar Walt Dr Ste 100
Fort Walton Beach, FL 32547-6645

Phone

(850) 863-2153

Fax

(850) 863-2885

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mark J Tenholder, MD PANPI 1407850878

Title

Physician

Phone

(850) 863-2153

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Tenholder, MD PA

  • Orthopaedic Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1407850878
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1336281773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR STE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476645",
            "telephone_number": "850-863-2153",
            "fax_number": "850-863-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR STE 100",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476645",
            "telephone_number": "850-863-2153",
            "fax_number": "850-863-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J TENHOLDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "TENHOLDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-863-2153",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME89699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROVIDER ID",
            "identifier": "37804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne L McCain PH D P a
• Chelsea Marien, PSY.D.
• Amanda Josefina Marin, COTA
• Gregory Joseph Marino, PHARMD
• Mariposa Speech Therapy LLC
• Ruth-Alexandria Marks
• Joni Marquardt
• Chadwick J Marshall, DMD, MD
• Kimberly Marshall, NP
• Samuel R. Marshall Jr., LMHC

• Sports Medicine (Orthopaedic Surgery) Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.