EMERALD COAST RADIATION ONCOLOGY – NPI #1891763108
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

EMERALD COAST RADIATION ONCOLOGY is a radiologist located in DESTIN, FL. NPPES has assigned the NPI number 1891763108 to EMERALD COAST RADIATION ONCOLOGY on March 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 16 years ago on Feb 05, 2010. 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 EMERALD COAST RADIATION ONCOLOGY below.

NPI Profile for
EMERALD COAST RADIATION ONCOLOGY

NPI Number
1891763108
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
EMERALD COAST RADIATION ONCOLOGY
Primary location
7720 US HIGHWAY 98 W.
SUITE 140
DESTIN, FL 32550-7230
Phone: (850) 622-0873 Fax: (850) 622-1912
Mailing address
PO BOX 18490
PENSACOLA, FL 32523-8490
Phone: (850) 622-0873 Fax: (850) 622-1912
Organization Subpart
No
Authorized Official
BUDDY ELMORE
CFO/SECRETARY/TREASURER
Phone: (850) 416-7638
Updated
Identifiers

Identifiers for EMERALD COAST RADIATION ONCOLOGY

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.

DescriptionIssuerStateIdentifier
MEDICAIDFL267422000
MEDICAIDFL267422000-GROUP
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
2085R0001X
- Radiology / Radiation Oncology (Primary)

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.