DIGITRACE CARE SERVICES (NPI# 1245417963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245417963 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES |
| Practice Address |
907 Mar Walt Dr Suite 2021 Fort Walton Beach FL 32547-6960 |
| Mailing Address |
60 Chastain Center Blvd Nw Suite 66 Kennesaw GA 30144-5598 |
| Practice Telephone | 8508630006 |
| Mailing Telephone | 7705925544 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | JOSEPH ROSE (VP OF FINANCE & ADMINISTRATION) |
| Authorized Official Telephone | 9785367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7618325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396896296 | Digitrace Care Services | Clinic/Center | 11250 Corporate Ave, Lenexa, KS 66219-1392 | 2007-01-16 |
| 1558439232 | Digitrace Care Services | Clinic/Center | 18-3 E Dundee Rd, Suite 206, Barrington, IL 60010-5292 | 2006-12-01 |
| 1033340294 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 7635 W Oklahoma Ave, 105, Milwaukee, WI 53219-3600 | 2009-08-05 |
| 1598942989 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2008-01-28 |
| 1649390758 | Digitrace Care Services | Clinic/Center | 130 2nd St, Neenah, WI 54956-2883 | 2007-03-30 |
| 1710007885 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 60 Chastain Center Blvd Nw, Suite 66, Kennesaw, GA 30144-5598 | 2007-03-30 |
| 1023040854 | Digitrace Care Services | Clinic/Center | 200 Corporate Pl, Suite 5b, Peabody, MA 01960-3840 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DIGITRACE CARE SERVICES INC. | 1950 Lake Park Dr Se Bldg 1900, Smyrna, Georgia 30080-7648 |
| Connecticut Business Registrations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| New York State Corporations | DIGITRACE CARE SERVICES, INC. | 80 State Street, Albany, Ny 122072543 |
| Massachusetts Corporations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| Street Address |
907 MAR WALT DR SUITE 2021 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962463885 | Penelope Linda Carter | Nurse Practitioner | 907 Mar Walt Dr, Fort Walton Beach, FL 32547-6960 | 2006-03-30 |
| 1528454352 | Journeypure Fort Walton | Clinic/Center | 907 Mar Walt Dr, Suite 2013, Fort Walton Beach, FL 32547-6960 | 2015-04-08 |
| 1205264900 | Guillot Enterprises, LLC | Clinic/Center | 907 Mar Walt Dr, Suite 2012, Fort Walton Beach, FL 32547-6960 | 2013-10-16 |
| 1447403134 | Michael H. Hennessey, Md, Pa | Obstetrics & Gynecology | 907 Mar Walt Dr, Suite 2024, Fort Walton Beach, FL 32547-6960 | 2008-10-28 |
| 1134371271 | Kelsie Leeanne Yang | Physician Assistant | 907 Mar Walt Dr, Suite 2024, Fort Walton Beach, FL 32547-6960 | 2008-10-21 |
| 1265655922 | In Your Dreams International Inc | Durable Medical Equipment & Medical Supplies | 907 Mar Walt Dr, Suite 2021, Fort Walton Beach, FL 32547 | 2007-04-11 |
| 1902950108 | Michael Alan Archer | Specialist | 907 Mar Walt Dr, Suite 2012, Fort Walton Beach, FL 32547-6960 | 2007-01-23 |
| 1477587111 | In Your Dreams International Inc | Psychiatry & Neurology | 907 Mar Walt Dr, Suite 2021, Fort Walton Beach, FL 32547 | 2006-07-10 |
| 1396779070 | Sleepmed Therapies Inc. | Durable Medical Equipment & Medical Supplies | 907 Mar Walt Dr, Suite 2022, Fort Walton Beach, FL 32547 | 2006-07-10 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489683 | Medical Services of America Inc | Durable Medical Equipment & Medical Supplies | 420 Green Acres Rd Ste 1, Fort Walton Beach, FL 32547-1167 | 2020-05-22 |
| 1568027779 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1025 Beal Pkwy Nw Ste B2, Fort Walton Beach, FL 32547-1481 | 2019-05-02 |
| 1548667272 | Scooter Brothers Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 219 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1574 | 2014-11-24 |
| 1891055885 | Medical Logic Ft Walton, Inc. | Durable Medical Equipment & Medical Supplies | 922 Mar Walt Dr Ste 101, Fort Walton Beach, FL 32547-6703 | 2012-05-23 |
| 1730494451 | Coastal Diabetes, LLC | Durable Medical Equipment & Medical Supplies | 12 Miracle Strip Pkwy Se, Suite 102, Fort Walton Beach, FL 32548-5814 | 2010-08-18 |
| 1386962926 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 11 Racetrack Rd Ne Ste E2, Fort Walton Beach, FL 32547-1867 | 2010-05-06 |
| 1386791937 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 18 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-01-05 |
| 1467526517 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 28 Perry Ave Se, Fort Walton Beach, FL 32548-5465 | 2006-11-20 |
| 1194829044 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 434 Racetrack Rd Ne, Fort Walton Beach, FL 32547-3924 | 2006-09-12 |
| 1619982857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 414c Mary Esther Cto Nw, Fort Walton Beach, FL 32548-4060 | 2006-07-29 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on DIGITRACE CARE SERVICES.
| 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.