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

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: July 19, 2026.

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
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

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.

Podiatrist (Foot & Ankle Surgery)
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery (Sports Medicine)
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery (Sports Medicine)
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Podiatrist
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR STE 100
FORT WALTON BEACH, FL 32547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174665830, enumerated as an "organization" on February 12, 2007.

The provider is located at 1034 MAR WALT DR STE 100 FORT WALTON BEACH, FL 32547 and the phone number is (850) 863-2153.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.