FORT WALTON BEACH ANESTHESIA LLC NPI 1538159652

NPI Information

  • NPI: 1538159652
  • Provider Name: FORT WALTON BEACH ANESTHESIA LLC
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Organization
  • Address: 1000 MAR WALT DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 474-8688

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NPI Details

FORT WALTON BEACH ANESTHESIA LLC is an anesthesiology in Fort Walton Beach, FL. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. FORT WALTON BEACH ANESTHESIA LLC NPI is 1538159652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-708
Phone: (850) 474-8688
Fax: (850) 969-2910

The provider's authorized official is Andy Popple .
The authorized official title is Executive Director and has the following contact phone number (850) 474-8000.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 6/24/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134572MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
224572OTHERFLORIDABLUE SHIELD
3266456900MEDICAIDFLORIDA
4CK6290OTHERRAILROAD MEDICARE
5529916680MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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: 11/21/2025

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