Joseph Shalit, M.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME67718 Issued in FL

Legal business name

JOSEPH SHALIT, M.D., P.A.

Practice address

484 N Wilson St
Crestview, FL 32536-3442

Phone

(850) 682-1022

Fax

(850) 682-2384

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Shalit, M.D.NPI 1518997493

Title

President

Phone

(850) 682-1022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Shalit, MD

  • Cardiovascular Disease Physician
  • Crestview, FL
  • NPI 1518997493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1356650683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 N WILSON ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363442",
            "telephone_number": "850-682-1022",
            "fax_number": "850-682-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 N WILSON ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363442",
            "telephone_number": "850-682-1022",
            "fax_number": "850-682-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH SHALIT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "SHALIT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-682-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME67718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "26606",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Lee Johnston, RBT
• Gabriella Jones
• Jayla Jones, OTD, OTR/L
• Kathryn Joy Jones, MFT
• Matthew Jones, MS, LMHC
• Paul A.J. Juliano
• Just Right Furniture
• Kylie Joy Justice, DNP
• Betty Kabel, RDH
• Abdillaiva Kadiri

• Medical Specialty Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.