Robert D. Siwicki,D.P.M.,P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P01110 & P02964 Issued in FL

Legal business name

ROBERT D. SIWICKI,D.P.M.,P.A.

Practice address

914A Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Phone

(850) 862-4119

Fax

(850) 862-5470

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert David Siwicki, D.P.M.

Title

Ceo

Phone

(850) 862-4119

Specialties & licenses 1

Addresses

Other names 1

• Emerald Coast Podiatry & Wound Care Center Doing business as

Locations

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1649256348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914A MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-862-4119",
            "fax_number": "850-862-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914A MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-862-4119",
            "fax_number": "850-862-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. SIWICKI,D.P.M.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SIWICKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-862-4119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01110  &  P02964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Coast Podiatry & Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Ripley
• Rise Chiropractic
• Beth Paula Ritenour, RPH
• Jaileen Rivera-Diaz
• Aiza Rivera, PHARMACIST
• Paul Michael Robert, LPN
• Franklin Arnold Roberts, LMHC LMFT
• Jane Anne Roberts, RN, COTA/L
• Jennifer Dawn Roberts, PHARMD
• Patricia (Trisha) Betty Roberts, RPT

• Podiatrist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.