THEODORE I MACEY MD PA
NPI 1174665830
Orthopaedic Surgery - Sports Medicine in Fort Walton Beach, FL

Q: What is Theodore I Macey MD PA's NPI number?

The NPI number for Theodore I Macey MD PA is 1174665830. It was assigned to this organization in the NPPES registry on February 12, 2007.

Q: What is Theodore I Macey MD PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since February 12, 2007

1034 MAR WALT DR STE 100, FORT WALTON BEACH, FL 32547(850) 863-2153(850) 315-9350 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Theodore I Macey Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE I MACEY MD PA (NPI 1174665830) is a healthcare organization registered as a sports medicine in Fort Walton Beach, Florida and active in the NPI registry since February 2007. The organization lists Theodore I Macey, Physician, as its authorized official.

NPPES Registry Identity

NPI1174665830

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameTHEODORE I MACEY MD PA

Location Address1034 MAR WALT DR STE 100Fort Walton Beach, FL 32547-6645

Mailing Address1034 Mar Walt Dr Ste 100Fort Walton Beach, FL 32547-6645 · (850) 863-2153 · Fax (850) 315-9350

Phone(850) 863-2153

Fax(850) 315-9350

Organization SubpartNo

Authorized OfficialTheodore I MaceyPhysician · (850) 863-2153

Enumeration DateFebruary 12, 2007

Last NPPES UpdateApril 28, 2008

✔ NPI 1174665830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in FL · ME44008

Definition

An orthopaedic surgeon trained in sports medicine provides 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.

1034 MAR WALT DR STE 100, Fort Walton Beach, FL 32547

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Other Identifiers 10

Other200030432FL · Rr Medicare

Other01449FL · Bs Provider Number

Medicare ID-Type Unspecified01449AFL · Medicare Ppin

Medicare NSC5232980002FL

OtherDC6653FL · Rr Medicare Group

Medicaid041896000FL

Medicare PINK6653FL

Medicare NSC5232980001FL

Medicare UPIND50145FL

Medicare NSC5232980003FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM R MARSHALL MD PA

Orthopaedic Surgery