Crestview Surgery Center LP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CRESTVIEW SURGERY CENTER LP

Practice address

400 Redstone Ave W
Crestview, FL 32536-8467

Phone

(850) 683-1555

Fax

(850) 683-1556

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David L Miller

Title

President

Phone

(615) 465-7016

Specialties & licenses 1

Addresses

Other names 1

• Crestview Surgery Center Doing business as

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619906468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDSTONE AVE W",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368467",
            "telephone_number": "850-683-1555",
            "fax_number": "850-683-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 REDSTONE AVE W",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368467",
            "telephone_number": "850-683-1555",
            "fax_number": "850-683-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-465-7016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crestview Pharmacy, LLC
• Crestview Physical and Aquatic Therapy LLC
• Crestview Physical Therapy Inc
• Crestview Rehabilitation Center, LLC
• Crestview Smiles, PA
• Crestview Urgent Care, Inc.
• Crestview Vision Associates, LLC
• Jamie Michele Crissman
• Bailey Jo Renee Cronk
• Sarah Shehadi Crooke, MSN, APRN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.