Niceville General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NICEVILLE GENERAL SURGERY LLC

Practice address

1001 College Blvd W
Suite B-1
Niceville, FL 32578-1099

Phone

(850) 678-1154

Fax

(850) 678-1458

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mickey Pickler

Title

VP

Phone

(850) 678-1154

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Shrager, MD

  • Surgery Physician
  • Denville, NJ
  • NPI 1588761936
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1316017775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "SUITE B-1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-678-1154",
            "fax_number": "850-678-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "SUITE B-1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-678-1154",
            "fax_number": "850-678-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICEVILLE GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "850-678-1154"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary V. Naney, COTA/L
• Elizabeth Marie Nelson
• Neuroway TMS
• Niceville Family Dental Center, P.L.
• Niceville Family Practice LLC
• Niceville Primary Care Bluewater
• Niceville Urgent Care LLC
• Amanda Nielsen, LCSW
• Molly Marie Nixon, PA
• Lincoln Norris

• Surgery Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.