Main Street Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAIN STREET MEDICAL CENTER

Practice address

369 N Main St
Crestview, FL 32536-3541

Phone

(850) 398-6963

Fax

(850) 398-8277

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joshua K Kolmetz, M.D.

Title

President

Phone

(850) 398-6963

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJIDAA

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1790116762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363541",
            "telephone_number": "850-398-6963",
            "fax_number": "850-398-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363541",
            "telephone_number": "850-398-6963",
            "fax_number": "850-398-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "KOLMETZ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-398-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubyann Pastoral Macasaet
• Marylin Machado, PHAMD
• Victoria S Mackriss, PT, DPT
• Nanette Kay Maddox
• Magnolia Rehab Services
• Main Street Medical Center of Crestview, PA
• Maria Makovskikh
• Chelsea Malandrucco
• Essam Yacoub Malaty, MD
• Imelda Maldonado, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.