Northwest Florida ENT PA
NPI 1821466491ActiveOrganization· Otolaryngology· Fort Walton Beach, FL
Otolaryngology in Fort Walton Beach, Florida, registered in NPPES in September 2015. The authorized official on file is Jason Redwood Boole, President.
Overview
| NPI | 1821466491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2015 |
| Last updated in NPPES | Apr 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | ME96773 | FL |
| Otolaryngology, Sleep Medicine | 207YS0012X | ME96773 | FL |
| Otolaryngology, Otolaryngic Allergy | 207YX0602X | ME96773 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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