Specialty Hospitalists at Ft Walton Beach LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC

Practice address

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

Phone

(850) 315-4295

Fax

(850) 315-4285

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Vince Wyatt

Title

Cfo

Phone

(850) 863-7501

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fort Walton Beach Medical Center, Inc.

  dba HCA Florida Fort Walton-Destin Hospital

  • General Acute Care Hospital
  • Fort Walton Beach, FL
  • NPI 1639128820

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yaniv Chen, M.D.C.M.

  • Neurology Physician
  • Stratford, CT
  • NPI 1710183314
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1720358393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-315-4295",
            "fax_number": "850-315-4285"
        },
        {
            "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": "850-315-4295",
            "fax_number": "850-315-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-863-7501"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Kennedy Smith, CCC-SLP
• Elizabeth Snow, D.C.
• Aaliyah Sade Soanes
• Ashley Sowell, RBT
• Catherine Ann Spears, R.N, M.S
• Spectrum House Inc
• Speech & Swallowing Services, LLC
• John S. Spencer, MD
• Spine Institute on the Emerald Coast (Coastal Neurosurgery & Spine)
• Ariel N. Sprague, RN

• Neurology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.