Okaloosa Emergency Group LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

OKALOOSA EMERGENCY GROUP LLC

Practice address

151 E Redstone Ave
Crestview, FL 32539-5352

Phone

(800) 893-9698

NPI assigned

Dec 26, 2005

Last updated

Feb 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisha C Falk

Title

VP Contracting

Phone

(800) 893-9698

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1336126978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395352",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA EMERGENCY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-26",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "LISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP CONTRACTING",
        "authorized_official_telephone_number": "800-893-9698"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel A Nunez, MD
• Nursetel
• Devin O'Hara, D.O.
• Dana Odom
• Okaloosa Cardiology P a
• Okaloosa Eye Care PA
• Okaloosa Ophthalmology Pediatric & Adult Eye Care
• Okaloosa Ophthalmology Pediatric & Adult Eye Care (Vizyon Optical)
• Okaloosa Pain Consultants P a
• Okaloosa Pulmonary & Sleep Medicine Clinic

• Emergency Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.