BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
NPI 1295769263
Orthopaedic Surgery in Fort Walton Beach, FL

NPI Status: Active since July 10, 2006

Contact Information

1032 MAR WALT DR
SUITE 210
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 664-5633
Fax: (850) 315-2664

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  • Organization
  • Orthopaedic Surgery

About BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA

This page provides the complete NPI Profile along with additional information for Beach Orthopaedic & Sports Medicine Clinic, Pa, a provider established in Fort Walton Beach, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1295769263 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number ME94278 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Samuel William Capra Jr. Md (President/owner)

NPI
1295769263
Provider Name
BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
Entity Type
Organization
Location Address
1032 MAR WALT DR SUITE 210 FORT WALTON BEACH, FL 32547
Location Phone
(850) 664-5633
Location Fax
(850) 315-2664
Mailing Address
1032 MAR WALT DR SUITE 210 FORT WALTON BEACH, FL 32547
Mailing Phone
(850) 664-5633
Mailing Fax
(850) 315-2664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME94278
License State
FL
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMUEL WILLIAM CAPRA JR. MD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(850) 664-5633

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295769263
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218514618212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 6 + 1 + 8 + 2 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1295769263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609872688DR. JOHN ROBERT BRENT M.D.
Individual
Surgery1032 MAR WALT DR STE 220
FORT WALTON BEACH, FL 32547
(850) 796-3737
1417940339 JOSEPH DANIEL SIEFKER M.D.
Individual
Otolaryngology (Plastic Surgery within the Head & Neck)1032 MAR WALT DR SUITE 100
FORT WALTON BEACH, FL 32547
(850) 796-1368
1912928896FT WALTON BEACH INTERNAL MEDICINE LLC
Organization
Internal Medicine1032 MAR WALT DR SUITE 230
FORT WALTON BEACH, FL 32547
(850) 862-0318
1710172416NORTHWEST FLORIDA WOMENS CANCER CARE LLC
Organization
Obstetrics & Gynecology1032 MAR WALT DR SUITE 250
FORT WALTON BEACH, FL 32547
(850) 862-2021
1679762611JOHN R. BRENT MD PA
Organization
Specialist1032 MAR WALT DR SUITE 220
FORT WALTON BEACH, FL 32547
(850) 796-3737
1275873275TIMOTHY M BRADLEY,MD SC
Organization
Plastic Surgery1032 MAR WALT DR SUITE 240
FORT WALTON BEACH, FL 32547
(850) 533-0865
1205175635BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.
Organization
Otolaryngology (Plastic Surgery within the Head & Neck)1032 MAR WALT DR SUITE 100
FORT WALTON BEACH, FL 32547
(504) 914-7696
1174519441 ERIC L SANDWITH MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1032 MAR WALT DR SUITE 230
FORT WALTON BEACH, FL 32547
(850) 862-3194
1447235577DR. ROBERT P FELDMAN M.D.
Individual
Neurological Surgery1032 MAR WALT DR SUITE 250
FORT WALTON BEACH, FL 32547
(850) 863-3463
1790912269NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Organization
Neurological Surgery1032 MAR WALT DR SUITE 250
FORT WALTON BEACH, FL 32547
(850) 863-3463
1265477574EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.
Organization
Health Maintenance Organization1032 MAR WALT DR SUITE 100
FORT WALTON BEACH, FL 32547
(850) 796-1368
1831122803 KENNETH ROBERT ELLISON PA
Individual
Physician Assistant (Medical)1032 MAR WALT DR SUITE 250
FORT WALTON BEACH, FL 32547
(850) 863-3463
1235962028WHITE SANDS PODIATRY LLC
Organization
Podiatrist (Foot & Ankle Surgery)1032 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
(850) 622-1607
1457329591 THOMAS ZACHOS M.D.
Individual
Urology1032 MAR WALT DR SUITE 240
FORT WALTON BEACH, FL 32547
(850) 863-0883
1164163325 NIKKOLE NUNEZ TOWN
Individual
Nurse Practitioner (Family)1032 MAR WALT DR
FORT WALTON BEACH, FL 32547
(850) 863-8260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295769263, enumerated in the NPI registry as an "organization" on July 10, 2006

The provider is located at 1032 Mar Walt Dr Suite 210 Fort Walton Beach, Fl 32547 and the phone number is (850) 664-5633

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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