MICHAEL L SHAWBITZ M D P A (NPI# 1144462110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144462110 |
| Entity Type | Organization |
| Organization Name | MICHAEL L SHAWBITZ M D P A |
| Practice Address |
1034 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6639 |
| Practice Telephone | 8508632153 |
| Practice Fax Number | 8503159350 |
| Mailing Telephone | 8508632153 |
| Mailing Fax Number | 8503159350 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MS. DAWN L LOPER (BUSINESS OFFICE ANALYST) |
| Authorized Official Telephone | 8503159211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0038803 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 065692500 | 05 |
| Street Address |
1034 MAR WALT DR SUITE 100 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133646 | Jason W Thackeray | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 1013535954 | Ruben Jonathan Ruiz | Physical Therapist | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2020-07-07 |
| 1770969875 | Mark Graeber | Podiatrist | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2015-07-31 |
| 1639514706 | Benjamin Gavin Merckle | Specialist/Technologist, Other | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2013-05-02 |
| 1467701862 | James F. Watt Do Pa | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2012-08-31 |
| 1396072765 | The Spine Institute At Orthopaedic Associates Pl | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 310, Fort Walton Beach, FL 32547-6645 | 2009-11-05 |
| 1467687350 | Thomas Arthur Fusco | Podiatrist | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-05-20 |
| 1518108588 | Dale Thomas Landry Jr. | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-03-20 |
| 1770745960 | Robert Francis Hofmann | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2008-06-28 |
| 1700087897 | James F Watt | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498723 | Gregory James Piacente | Psychiatry & Neurology | 1106 Hospital Road, Neurology Department, Fort Walton Beach, FL 32547 | 2005-12-15 |
| 1073506432 | David Lee Shaw | Psychiatry & Neurology | 907 Mar Walt Drive, Suite 2021, Fort Walton Beach, FL 32547-6960 | 2005-08-31 |
| 1952307878 | Fred E Aubert Jr. | Psychiatry & Neurology | 1106 Hospital Rd, Neuroscience Center, Fort Walton Beach, FL 32547-6742 | 2005-06-24 |
| 1720358393 | Specialty Hospitalists At Ft Walton Beach LLC | Psychiatry & Neurology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2012-01-12 |
| 1750692422 | Nina Grace Bradley | Psychiatry & Neurology | 1106 Hospital Road, Neuroscience Center, Fort Walton Beach, FL 32547-6796 | 2010-06-28 |
| 1346444742 | Raymond Lee Capps | Psychiatry & Neurology | 1106 Hospital Road, Neuroscience Center, Fort Walton Beach, FL 32547-6742 | 2007-06-12 |
| 1417932229 | Judy Louise White | Psychiatry & Neurology | 1106 Hospital Rd, Neurology Department, Fort Walton Beach, FL 32547-6742 | 2005-12-14 |
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|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
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| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.