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WILLIAM R MARSHALL MD PA NPI 1396887204


NPI Information

NPI: 1396887204
Provider Name: WILLIAM R MARSHALL MD PA
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-2153
Get Directions

WILLIAM R MARSHALL MD PA is a sports medicine orthopaedic surgery in Fort Walton Beach, FL. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. WILLIAM R MARSHALL MD PA NPI is 1396887204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL
ZIP 32547-645
Phone: (850) 863-2153
Fax: (850) 315-9350

The provider's authorized official is William R Marshall .
The authorized official title is Physician and has the following contact phone number (850) 863-2153.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 5/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineME35510FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1431621AMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PPIN
2406203902OTHERFLORIDARR MEDICARE
3DE9184OTHERFLORIDARR MEDICARE GROUP
45232980003MEDICARE NSCFLORIDA
55232980002MEDICARE NSCFLORIDA
65232980001MEDICARE NSCFLORIDA
7K2089MEDICARE PINFLORIDA
8D62476MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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