JOSEPH KUBACKI (NPI# 1306834213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306834213 |
| Entity Type | Individual |
| Full Name | JOSEPH KUBACKI |
| Credential | MD |
| Practice Address |
1034 Mar Walt Dr Suite 200 Fort Walton Beach FL 32547-6639 |
| Practice Telephone | 8508624001 |
| Practice Fax Number | 8508621612 |
| Mailing Telephone | 8508624001 |
| Mailing Fax Number | 8508621612 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD017939E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006654830001 | 05 |
| Street Address |
1034 MAR WALT DR SUITE 200 |
| 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 |
| 1144462110 | Michael L Shawbitz M D P A | Psychiatry & Neurology | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-04-06 |
| 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 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949828 | Omer Gal | Ophthalmology | 348 Miracle Strip Pkwy Sw Ste 38, Fort Walton Beach, FL 32548-5264 | 2010-04-06 |
| 1639377096 | Brian S Planchard | Ophthalmology | 1034 Mar Walt Dr Unit 200, Fort Walton Beach, FL 32547-6637 | 2007-07-06 |
| 1386693489 | Karen Sherrill Stein | Ophthalmology | 906b Mar Walt Dr, Fort Walton Beach, FL 32547-6752 | 2006-05-08 |
| 1629463732 | Julian Vladimirovich Tokarev | Ophthalmology | 1106 Hospital Road, West Building, Fort Walton Beach, FL 32547-6742 | 2015-04-06 |
| 1770745960 | Robert Francis Hofmann | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2008-06-28 |
| 1184637282 | Larry Charles Gabriel | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2006-08-13 |
| 1114948387 | Thomas C. Church M.d., Pa | Ophthalmology | 51 Yacht Club Dr Ne, Fort Walton Beach, FL 32548-4473 | 2006-07-22 |
| 1871542738 | Stein Eye Care, Inc. | Ophthalmology | 906b Mar Walt Dr, Fort Walton Beach, FL 32547-6752 | 2006-05-09 |
| 1669421467 | Emerald Coast Eye Institute LLC | Ophthalmology | 1034 Mar Walt Dr, Suite 200, Fort Walton Beach, FL 32547-6639 | 2006-05-09 |
| 1972567089 | Samuel Poppell | Ophthalmology | 1034 Mar Walt Dr, Suite 200, Fort Walton Beach, FL 32547-6645 | 2006-04-14 |
| Find all providers in FORT WALTON BEACH | ||||
| 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.