MARK J TENHOLDER MD PA - NPI 1336281773 - Orthopaedic Surgery in Fort Walton Beach, FL

Q: What is Mark J Tenholder MD PA's NPI number?

The NPI number for Mark J Tenholder MD PA is 1336281773. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Mark J Tenholder MD PA's specialty?

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

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About Mark J Tenholder Md Pa NPPES

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

MARK J TENHOLDER MD PA (NPI 1336281773) 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 Mark J Tenholder, Physician, as its authorized official.

NPPES Registry Identity

NPI1336281773

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameMARK J TENHOLDER 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) 863-2885

Phone(850) 863-2153

Fax(850) 863-2885

Organization SubpartNo

Authorized OfficialMark J TenholderPhysician · (850) 863-2153

Enumeration DateFebruary 13, 2007

Last NPPES UpdateMarch 12, 2008

✔ NPI 1336281773 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 · ME89699

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 7

Medicare NSC5232980003

Medicare NSC5232980002FL

Medicare NSC5232980001FL

Medicare PINK6469FL

Medicare UPINI18092FL

Other37804FL · Bs Provider Id

Medicare ID-Type Unspecified37804ZFL · Ppin

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