ERIC L SANDWITH (NPI# 1174519441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519441 |
| Entity Type | Individual |
| Full Name | ERIC L SANDWITH |
| Credential | MD |
| Practice Address |
1032 Mar Walt Dr Suite 230 Fort Walton Beach FL 32547-6661 |
| Practice Telephone | 8508623194 |
| Practice Fax Number | 8508624423 |
| Mailing Telephone | 8508623194 |
| Mailing Fax Number | 8508624423 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME90193 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274071100 | 05 | |
| FL | RAILROAD MEDICARE | P00777005 | 01 |
| Street Address |
1032 MAR WALT DR SUITE 230 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872688 | John Robert Brent | Surgery | 1032 Mar Walt Dr, Ste 220, Fort Walton Beach, FL 32547-6645 | 2005-06-23 |
| 1275873275 | Timothy M Bradley,md Sc | Plastic Surgery | 1032 Mar Walt Dr, Suite 240, Fort Walton Beach, FL 32547-6661 | 2013-02-27 |
| 1205175635 | Barnett Facial Plastic & Reconstructive Surgery, Pa. | Otolaryngology | 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 | 2013-02-05 |
| 1790912269 | Northwest Florida Multispecialty Physicians LLC | Neurological Surgery | 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 | 2009-06-11 |
| 1679762611 | John R. Brent Md Pa | Specialist | 1032 Mar Walt Dr, Suite 220, Fort Walton Beach, FL 32547-6661 | 2007-10-16 |
| 1710172416 | Northwest Florida Womens Cancer Care LLC | Obstetrics & Gynecology | 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 | 2007-09-06 |
| 1497823942 | Inna Victorovna Martire | Physician Assistant | 1032 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2006-12-01 |
| 1912928896 | Ft Walton Beach Internal Medicine LLC | Internal Medicine | 1032 Mar Walt Dr, Suite 230, Fort Walton Beach, FL 32547-6645 | 2006-07-23 |
| 1295769263 | Beach Orthopaedic & Sports Medicine Clinic, Pa | Orthopaedic Surgery | 1032 Mar Walt Dr, Suite 210, Fort Walton Beach, FL 32547-6645 | 2006-07-10 |
| 1831122803 | Kenneth Robert Ellison | Physician Assistant | 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 | 2006-07-10 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
| 1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
| 1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
| 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.