NW Florida Lung Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0058957 Issued in FL

Legal business name

NW FLORIDA LUNG ASSOCIATES, PA

Practice address

322 Racetrack Rd NE
Fort Walton Beach, FL 32547-2546

Phone

(850) 863-3000

Fax

(850) 374-3200

NPI assigned

Feb 7, 2007

Organization subpart

Yes

Parent organization

NW FL LUNG ASSOCIATES, PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J. Given, MDNPI 1104898980

Title

Doctor

Phone

(850) 863-3000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

NW Florida Lung Associates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19969/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Given, MD

  • Specialist
  • Fort Walton Beach, FL
  • NPI 1104898980
  Medicare reassignment NPD Authorized official
• Claudia Marcela Molina, MD

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1992713127
  NPD
• Joanna Peets, FNP-C

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1598538621

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1093855587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RACETRACK RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472546",
            "telephone_number": "850-863-3000",
            "fax_number": "850-374-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 RACETRACK RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472546",
            "telephone_number": "850-863-3000",
            "fax_number": "850-374-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471352",
            "country_code": "US",
            "telephone_number": "850-863-3000",
            "fax_number": "850-862-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NW FLORIDA LUNG ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NW FL LUNG ASSOCIATES, PA",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-863-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058957",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252347700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Florida Womens Cancer Care LLC
• Abbie Camille Santos Nucup, MD
• Abigail Nummer
• Brittany Nunez
• Chelsee Nutt, APRN
• Brittany Nystrom
• Monique O'Brien
• Mykaela O'Brien
• Lauren O'Connor
• Kevin Michael O'Quinn, FNP

• Specialist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.