Crestview Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME93880 Issued in FL

Legal business name

CRESTVIEW URGENT CARE, INC.

Practice address

1502 S Ferdon Blvd
Crestview, FL 32536-8444

Phone

(850) 398-1079

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Charles Joseph Clancy, PA-CNPI 1669410924

Title

Physician Assistant

Phone

(850) 398-8668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 17

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

• Christopher Brannon Cole, PA-C

  • Physician Assistant
  • Crestview, FL
  • NPI 1326267469
  Medicare reassignment Care Compare group NPD
• Louise Barthel

  • Nurse Practitioner
  • Niceville, FL
  • NPI 1184278350
  Medicare reassignment Care Compare group
• Charles Joseph Clancy, PA-C

  • Physician Assistant
  • Fort Walton Beach, FL
  • NPI 1669410924
  Medicare reassignment Authorized official
• Kyle Gene Cooper, PA-C

  • Physician Assistant
  • Eglin Afb, FL
  • NPI 1982786380
  Medicare reassignment Care Compare group
• Trevor Graham Dell, PA-C

  • Physician Assistant
  • Eglin Afb, FL
  • NPI 1013212075
  Medicare reassignment Care Compare group
• Aimie Exley Enke

  • Nurse Practitioner
  • Miramar Beach, FL
  • NPI 1457936866
  Medicare reassignment Care Compare group
• Erin Askew Hill, FNP-C

  • Nurse Practitioner
  • Crestview, FL
  • NPI 1245602879
  Medicare reassignment Care Compare group
• Bogan M. McQuigg, III, PA

  • Physician Assistant
  • Crestview, FL
  • NPI 1437100435
  Medicare reassignment Care Compare group
• Tommy Steven Noggle, MD

  • Emergency Medicine Physician
  • Crestview, FL
  • NPI 1205888062
  Medicare reassignment Care Compare group
• Robert Ray Schrope IV, PA-C

  • Physician Assistant
  • Pensacola, FL
  • NPI 1861475006
  Medicare reassignment Care Compare group
• Antonia White, APRN

  • Nurse Practitioner
  • Miramar Beach, FL
  • NPI 1184231110
  Medicare reassignment Care Compare group
• Joshua Luke Latham, D.O.

  • Family Medicine Physician
  • NPI 1326139304

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1144458647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368444",
            "telephone_number": "850-398-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368444",
            "telephone_number": "850-398-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "850-398-8668",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME93880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestview Physical and Aquatic Therapy LLC
• Crestview Physical Therapy Inc
• Crestview Rehabilitation Center, LLC
• Crestview Smiles, PA
• Crestview Surgery Center LP
• Crestview Vision Associates, LLC
• Jamie Michele Crissman
• Bailey Jo Renee Cronk
• Sarah Shehadi Crooke, MSN, APRN, FNP-C
• Lauren Michelle Crosby, RBT

• Urgent Care Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.