Emerald Coast Sports Medicine and Orthopaedics, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A.

Practice address

339 Racetrack Rd NW
Suite 12
Fort Walton Beach, FL 32547-1538

Phone

(850) 864-3339

Fax

(850) 864-1715

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Leo C Chen, M.D.NPI 1326018391

Title

President

Phone

(850) 864-3339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Leo C Chen, M.D.

  • Orthopaedic Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1326018391
  Medicare reassignment NPD Authorized official
• Alfred Cardet, MD

  • Specialist
  • Crestview, FL
  • NPI 1770572745
  NPD (past)
• Christo W Koulisis, MD

  • Specialist
  • Niceville, FL
  • NPI 1780673749

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1972583326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW",
            "address_2": "SUITE 12",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471538",
            "telephone_number": "850-864-3339",
            "fax_number": "850-864-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW",
            "address_2": "SUITE 12",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471538",
            "telephone_number": "850-864-3339",
            "fax_number": "850-864-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-864-3339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Emerald Coast Support Coordinators, Inc.
• Emerald Coast Surgery Center, LP (Emerald Coast Surgery Center)
• Emerald Coast Surgical Associates, LLC
• Emerald Coast TMS of Fort Walton Beach
• Emerald Coast Urology

• Orthopaedic Surgery Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.