Active NPI
Angel A Nunez, MD
- Pulmonary Disease Physician
- Crestview, FL
National Provider Identifier
1366543456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME80005
- Practice address
- 130 E Redstone Ave
Crestview, FL 32539-5348 - Phone
- (850) 398-8725
- Fax
- (850) 398-8727
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME80005 | FL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME80005 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME80005 | FL | Primary |
Addresses
Primary practice location
130 E Redstone Ave
Crestview, FL 32539-5348
Mailing address
1005 Mar Walt Drive
Fort Walton Beach, FL 32547
Phone (850) 243-0118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259704700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Clinic LLC | Pulmonary Disease | Current | Accepting new patients |
| White-Wilson Medical Center PA | Current | Accepting new patients | |
| Bayne Jones Army Community Hospital | Pulmonary Disease | Past | Accepting new patients |
| Ortega Pulmonary Associates PA | Past | Accepting new patients | |
| Bangus Surgical Specialists LLC | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
130 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725
1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100
Interoperability endpoints
- angel.nunez.1@3326.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
-
- Surgery Physician
- Panama City, FL
- NPI 1730886581
-
- Family Medicine Physician
- Niceville, FL
- NPI 1831586312
Pulmonary Disease
-
- Specialist
- Panama City, FL
- NPI 1740381847
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1366543456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-243-0118",
"fax_number": "850-243-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E REDSTONE AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395348",
"telephone_number": "850-398-8725",
"fax_number": "850-398-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "ANGEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME80005",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME80005",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME80005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259704700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.