Jason W Thackeray Md Pa is a Sports Orthopedic Clinic in Fort Walton Beach, Florida. It is situated at 1034 Mar Walt Dr Ste 100, Fort Walton Beach and its contact number is 850-863-2153. The authorized person of Jason W Thackeray Md Pa is Jason W Thackeray
who is Physician of the clinic and their contact number is 850-863-2153. Other organizations associated with this clinic are Theodore I Macey Md Pa, Mark J Tenholder Md Pa, William R Marshall Md Pa, Jason W Thackeray Md Pa, John C Warburton Md Pa, Primary license number for Jason W Thackeray Md Pa is ME77615 (Orthopaedic Surgery (Sports Medicine)) in Florida.
Complete Clinic Profile:
Jason W Thackeray Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Sports Medicine
Clinic Address:
1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida, 32547-6645
Phone:
850-863-2153
Fax:
850-315-9350
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jason W Thackeray
Position:
Physician
Contact Number:
850-863-2153
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jason W Thackeray Md Pa Clinic are as mentioned below.
NPI Number:
1568504173
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
29 Oct, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Theodore I Macey Md Pa
Sports Medicine
1174665830
Mark J Tenholder Md Pa
Sports Medicine
1336281773
William R Marshall Md Pa
Sports Medicine
1396887204
Jason W Thackeray Md Pa
Sports Medicine
1568504173
John C Warburton Md Pa
Orthopedic Surgery
1861658338
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason W Thackeray Md Pa are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery (Sports Medicine)
ME77615
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
17147
Other
Florida
Bs Provider Number
265809700
Medicaid
Florida
1568504173
Other
Florida
Railroad Medicare
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jason W Thackeray Md Pa 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida
Zip:
32547-6645
Phone Number:
850-863-2153
Fax Number:
850-315-9350
Patients can reach Jason W Thackeray Md Pa at 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida or can call to book an appointment on 850-863-2153. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Sports Orthopedic: An orthopaedic surgeon who is trained in sports medicine which help to provide appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Orthopaedic Associates, Pa Speciality:Orthopedic Clinic Address: 1034 Mar Walt Dr Unit 100, Fort Walton Beach, FL Phone: 850-863-2153 Fax: 850-315-9350