Active NPI
Robert C Morell, MD
- Anesthesiology Physician
- Fort Walton Beach, FL
National Provider Identifier
1801874581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME65930
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME65930 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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-
- Anesthesiology Physician
- Fort Walton Beach, FL
- NPI 1245443829
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.