Emerald Coast Medical Services Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

EMERALD COAST MEDICAL SERVICES INC

Practice address

101 Microspine Way
Defuniak Springs, FL 32435-6323

Phone

(850) 892-6001

Fax

(850) 892-4212

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Pete Pinaud

Title

Principal

Phone

(727) 849-9645

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1366497646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MICROSPINE WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356323",
            "telephone_number": "850-892-6001",
            "fax_number": "850-892-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MICROSPINE WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356323",
            "telephone_number": "850-892-6001",
            "fax_number": "850-892-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PINAUD",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "727-849-9645"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PAR NUMBER",
            "identifier": "34131",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Draper, MD
• DRNC, LLC (Chautauqua Rehabilitation and Nursing Center)
• Chelsa Veronica Dunaway
• Sharla Mechele Durden, CCC-SLP
• Candice Jade Earnest, RBT
• Emerald Springs Family Counseling LLC
• Donna Shepherd Ennis, NURSE PRACTITIONER
• Joe R. Evans III, O.D.
• Fawaz Medical and Surgical Clinic, LLC
• Fawzi Fawaz, M. D.

• Orthopaedic Surgery of the Spine Physician in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.