DR. JOSEPH R AGOSTINELLI (NPI# 1932103397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932103397 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH R AGOSTINELLI |
| Credential | DPM PA |
| Practice Address |
1034 Mar Walt Dr Ste 100 Fort Walton Beach FL 32547-6645 |
| Practice Telephone | 8508632153 |
| Practice Fax Number | 8503159350 |
| Mailing Telephone | 8508632153 |
| Mailing Fax Number | 8503159350 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2643 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340506100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386766889 | Joseph R Agostinelli | Physical Therapist | 140 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2007-04-04 |
| Street Address |
1034 MAR WALT DR STE 100 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305484 | Theodore I Macey | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 1861658338 | John C Warburton Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2008-08-04 |
| 1396887204 | William R Marshall Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-14 |
| 1528100088 | Joseph R Agostinelli Dpm Pa | Podiatrist | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-13 |
| 1336281773 | Mark J Tenholder Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-13 |
| 1568504173 | Jason W Thackeray Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-12 |
| 1174665830 | Theodore I Macey Md Pa | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2007-02-12 |
| 1033114426 | William R Marshall | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-14 |
| 1407850878 | Mark J Tenholder | Orthopaedic Surgery | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265472211 | Siwicki & Ricciardi,p.l. | Podiatrist | 341 A Racetrack Rd Nw, Fort Walton Beach, FL 32547 | 2006-06-07 |
| 1649256348 | Robert D. Siwicki,d.p.m.,p.a. | Podiatrist | 914a Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2005-12-15 |
| 1881670081 | Robert David Siwicki | Podiatrist | 914a Mar Walt Dr, Fort Walton Beach, FL 32547-6606 | 2005-12-20 |
| 1295711968 | Cosimo A Ricciardi | Podiatrist | 914a Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on DR. JOSEPH R AGOSTINELLI.
| 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.