4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC – NPI #1568420735
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC is a provider located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1568420735 to 4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC on May 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 19 years ago on Jul 20, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC below.

NPI Profile for
4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC

NPI Number
1568420735
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC
Primary location
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone: (850) 863-7607 Fax: (205) 437-5998
Mailing address
PO BOX 88452
CHICAGO, IL 60680-1452
Phone: (205) 437-6098 Fax: (205) 437-5998
Organization Subpart
No
Authorized Official
GUY HOOPER
PRESIDENT
Phone: (205) 437-6098
Updated
Identifiers

Identifiers for 4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA GROUP PROVIDER NOFL7800781
OTHERBCBS GROUP NUMBERFL97859
OTHERBCBS GROUP PROVIDER NOALF938
OTHERRRMC GROUP NUMBERFLDE2947
OTHERUNITEDHEALTHCARE OF FLFL2622096
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.