Individual provider Active NPI

Robert C Morell, MD

  • Anesthesiology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1801874581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME65930 Issued in FL
Practice address
1000 Mar Walt Dr
Ft Walton Beach Anesthesia LLC
Ft Walton Beach, FL 32547
Phone
(850) 474-8100
Fax
(850) 474-8083
NPI assigned
Jan 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME65930 FL Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Ft Walton Beach Anesthesia LLC
Ft Walton Beach, FL 32547

Mailing address

8201 University Parkway
Ft Walton Beach Anesthesia LLC
Pensacola, FL 32514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65930FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ft. Walton Beach Anesthesia Services LLC Anesthesiology Past Accepting new patients
Bayshore Anesthesia P a Anesthesiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801874581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 UNIVERSITY PARKWAY",
            "address_2": "FT WALTON BEACH ANESTHESIA LLC",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "address_2": "FT WALTON BEACH ANESTHESIA LLC",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME65930",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.