Active NPI
Northwest Florida Cardiology LLC
- Cardiovascular Disease Physician
- Niceville, FL
National Provider Identifier
1295719037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NORTHWEST FLORIDA CARDIOLOGY LLC
- Practice address
- 490 Highway 85 N
Ste a & B
Niceville, FL 32578-1010 - Phone
- (850) 678-6501
- Fax
- (850) 678-6516
- NPI assigned
- Dec 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mickey Pickler
- Title
- VP
- Phone
- (850) 523-2117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
490 Highway 85 N
Ste a & B
Niceville, FL 32578-1010
Mailing address
490 Highway 85 N
Ste a & B
Niceville, FL 32578-1010
Phone (850) 678-6501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF1366 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
101 Hart St
Niceville, FL 32578
Phone (850) 729-1800
490 Highway 85 N
#B
Niceville, FL 32578
Phone (850) 678-6501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Williamsburg, VA
- NPI 1700868916
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1295719037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 HIGHWAY 85 N",
"address_2": "STE A & B",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781010",
"telephone_number": "850-678-6501",
"fax_number": "850-678-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 HIGHWAY 85 N",
"address_2": "STE A & B",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781010",
"telephone_number": "850-678-6501",
"fax_number": "850-678-6516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FLORIDA CARDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-05",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "PICKLER",
"authorized_official_first_name": "MICKEY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "850-523-2117",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF1366",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
- Amanda Nielsen, LCSW
- Molly Marie Nixon, PA
- Lincoln Norris
- North Florida Surgeons, PA (North Florida Surgeons Orthopaedic Associates, LLC)
- North Florida Surgeons, PA (North Florida Surgeons Bluewater Orthopedics, LLC)
- Northwest Florida Primary Care LLC
- Anne M Nuffer, IBCLC
- Katie Allison O'Brien, LCSW
- Catherine Mary O'Connell, ARNP
- Peter T Oas, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.