Organization Active NPI

Paul J Kalin

  • Foot & Ankle Surgery Podiatrist
  • Fort Walton Beach, FL
National Provider Identifier
1407150915
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PAUL J KALIN
Practice address
1013 Mar Walt Dr
Suite a
Fort Walton Beach, FL 32547-6723
Phone
(850) 863-1238
Fax
(850) 864-3338
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Paul J KalinNPI 1336177401
Title
Ceo
Phone
(850) 863-1238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1013 Mar Walt Dr
Suite a
Fort Walton Beach, FL 32547-6723

Mailing address

1013 Mar Walt Dr
Suite a
Fort Walton Beach, FL 32547-6723
Phone (850) 863-1238

Other identifiers 1

IdentifierTypeStateIssuer
029694500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1013 Mar Walt Dr
Ste A
Ft Walton Bch, FL 32547
Phone (850) 863-1238

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1407150915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MAR WALT DR",
            "address_2": "SUITE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476723",
            "telephone_number": "850-863-1238",
            "fax_number": "850-864-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MAR WALT DR",
            "address_2": "SUITE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476723",
            "telephone_number": "850-863-1238",
            "fax_number": "850-864-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J KALIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-863-1238"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029694500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.