Emerald Coast Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME66117 Issued in FL

Legal business name

EMERALD COAST PATHOLOGY ASSOCIATES PA

Practice address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Phone

(850) 863-7660

Fax

(850) 315-7808

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Neil Blanchard, M.D.

Title

President

Phone

(850) 863-7660

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Hien Dao, MD

  • Internal Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1699779389
  NPD (past)
• Laura A Palm, MD

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1306827068
  NPD (past)
• Joseph W. Heflin, MD

  • Internal Medicine Physician
  • Fernley, NV
  • NPI 1447201447
  NPD (past)
• Michelle H Vandenbosch, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1023205051
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1689636458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100559",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010559",
            "telephone_number": "843-664-4300",
            "fax_number": "843-664-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-863-7660",
            "fax_number": "850-315-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-863-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME66117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Infectious Diseases Medical Group, PA
• Emerald Coast Mood & Memory PA
• Emerald Coast Oncology and Hematology Assoc., P.a.
• Emerald Coast Personal Care
• Emerald Coast Psychotherapy, LLC
• Emerald Coast Rehabilitation Center, LLC
• Emerald Coast Speech Therapy LLC
• Emerald Coast Sports Medicine and Orthopaedics, P.a.

• All providers in Fort Walton Beach, FL
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.