NPIMap

Organization Active NPI

Bluewater Orthopedics, PA

  • Sports Medicine (Internal Medicine) Physician
  • Niceville, FL
National Provider Identifier
1780628255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
ME0060265 Issued in FL
Legal business name
BLUEWATER ORTHOPEDICS, PA
Practice address
1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Phone
(850) 897-8081
Fax
(850) 897-1520
NPI assigned
Jun 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Ann Strickland
Title
Practice Administrator
Phone
(850) 897-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X ME0060265 FL Primary

Addresses

Primary practice location

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887

Mailing address

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Phone (850) 897-8081

Other identifiers 1

IdentifierTypeStateIssuer
14883BOtherFLBCBSFL

National Provider Directory

National Provider Directory
Tax ID family
Bluewater Orthopedics PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780628255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-8081",
            "fax_number": "850-897-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-8081",
            "fax_number": "850-897-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER ORTHOPEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-897-8081"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME0060265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14883B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.