Active NPI
Medical and Respiratory Services
- Oxygen Equipment & Supplies (DME)
- Fort Walton Beach, FL
National Provider Identifier
1992092621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MEDICAL AND RESPIRATORY SERVICES
- Practice address
- 922 Mar Walt Dr
Suite 101
Fort Walton Beach, FL 32547-6630 - Phone
- (850) 862-6277
- Fax
- (850) 862-6279
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 1, 2011
- 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
- Mr. Billy Burdett Vordtriede, RRT
- Title
- General Manager
- Phone
- (850) 533-6266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | Primary |
Addresses
Primary practice location
922 Mar Walt Dr
Suite 101
Fort Walton Beach, FL 32547-6630
Mailing address
922 Mar Walt Dr
Suite 101
Ft. Walton Beach, FL 32457
Phone (850) 862-6277
National Provider Directory
National Provider DirectoryLocations
922 Mar Walt Dr
Ste 101
Ft Walton Bch, FL 32547
Phone (850) 862-6277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1992092621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 MAR WALT DR",
"address_2": "SUITE 101",
"city": "FT. WALTON BEACH",
"state": "FL",
"postal_code": "32457",
"telephone_number": "850-862-6277",
"fax_number": "850-862-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 MAR WALT DR",
"address_2": "SUITE 101",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476630",
"telephone_number": "850-862-6277",
"fax_number": "850-862-6279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL AND RESPIRATORY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "VORDTRIEDE",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "BURDETT",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "850-533-6266",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.