Genesis OBGYN PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME98995 Issued in FL

Legal business name

GENESIS OBGYN PA

Practice address

1025 Beal Pkwy NW
Fort Walton Beach, FL 32547-1446

Phone

(850) 362-6435

Fax

(850) 362-6777

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer W Seaton, MD

Title

Owner

Phone

(850) 362-6435

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1407083884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471446",
            "telephone_number": "850-362-6435",
            "fax_number": "850-362-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471446",
            "telephone_number": "850-362-6435",
            "fax_number": "850-362-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS OBGYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-362-6435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME98995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina J. Gawlik, PSY.D.
• Hannah Gaylord, OTR/L
• Natasha Gebhardt
• Amber Mae Gee
• Genesis Health and Wellness, LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Genoa Healthcare LLC
• Amber Lynn Gentry, LMHC
• George D. Edlund O.D., P.a.

• Obstetrics & Gynecology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.