Active NPI
Emerald Coast Oncology and Hematology Assoc., P.a.
- Hematology & Oncology Physician
- Fort Walton Beach, FL
National Provider Identifier
1861421919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- EMERALD COAST ONCOLOGY AND HEMATOLOGY ASSOC., P.A.
- Practice address
- 1024 Mar Walt Dr
Fort Walton Beach, FL 32547-6645 - Phone
- (850) 863-3148
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Vinson
- Title
- Practice Manager
- Phone
- (850) 863-3148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1024 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Mailing address
1024 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 863-3148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0271526 | Emerald Coast Oncology and Hematology | Compliance | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
36474 Emerald Coast Pkwy
Ste 1102
Destin, FL 32541
Phone (850) 837-3318
1024 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-3132
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1457195604
-
- Hematology & Oncology Physician
- Eglin Afb, FL
- NPI 1316231129
Multi-Specialty
-
- Medical Oncology Physician
- Ft Walton Beach, FL
- NPI 1457390353
-
- Hematology & Oncology Physician
- Fort Walton Beach, FL
- NPI 1336340637
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1881674505
-
- Family Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1164379194
-
- Physician Assistant
- Fort Walton Beach, FL
- NPI 1710466222
-
- Medical Physician Assistant
- Fort Walton Beach, FL
- NPI 1215698691
-
- Physician Assistant
- Fort Walton Beach, FL
- NPI 1881870657
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1972050920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1861421919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-863-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-863-3148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD COAST ONCOLOGY AND HEMATOLOGY ASSOC., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "VINSON",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "850-863-3148"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
- Emerald Coast Hearing Associates, LLC
- 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 Pathology Associates PA
- Emerald Coast Personal Care
- Emerald Coast Psychotherapy, LLC
- Emerald Coast Rehabilitation Center, LLC
- Emerald Coast Speech Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.