DR. ROBERT DAVID SIWICKI D.P.M. NPI 1881670081

NPI Information

NPI: 1881670081
Provider Name: DR. ROBERT DAVID SIWICKI, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
914A MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-4119
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DR. Robert David Siwicki, D.P.M. is a podiatrist in Fort Walton Beach, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Robert David Siwicki, D.P.M. NPI is 1881670081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

914A MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-606
Phone: (850) 862-4119
Fax: (850) 862-5470

The enumeration date for this NPI number is 12/20/2005 and was last updated on 9/26/2012.

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
1	213E00000X	Podiatrist		PO1110	FLORIDA	Yes

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
1	5663950002	MEDICARE NSC	FLORIDA
2	T55553	MEDICARE UPIN	FLORIDA
3	041128100	MEDICAID	FLORIDA
4	CN7984	OTHER	FLORIDA	RAILROAD MEDICARE PALMETTO GBA
5	5663950001	MEDICARE NSC	FLORIDA
6	87803Y	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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