Active NPI
Emerald Coast Oncology and Hematology Assoc., P.a.
- Hematology & Oncology Physician
- Fort Walton Beach, FL
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
- Last updated
- May 23, 2022
- 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) 863-3148
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Family Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1457195604
-
- Hematology & Oncology Physician
- Eglin AFB, FL
- NPI 1316231129
Multi-Specialty
-
- Medical Oncology Physician
- Fort 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 Hearing Associates)
- Emerald Coast Infectious Diseases Medical Group, P.a. (Bay Foot and Ankle Center)
- Emerald Coast Infectious Diseases Medical Group, P.a. (American Medical Group)
- Emerald Coast Infectious Diseases Medical Group, PA (Synergy Specialty Pharmacy)
- Emerald Coast Mood & Memory PA
- Emerald Coast Pathology Associates PA
- Emerald Coast Personal Care (Home Instead Senior Care)
- Emerald Coast Psychotherapy, LLC
- Emerald Coast Rehabilitation Center, LLC (Emerald Coast Center)
- 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.