Destin Pulmonary Critical Care, PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

DESTIN PULMONARY CRITICAL CARE, PLLC

Practice address

249 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-7197

Phone

(850) 608-6288

Fax

(850) 608-6236

NPI assigned

Dec 5, 2014

Last updated

Sep 12, 2018By 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

Mrs. Pandra Mae Yerby

Title

Billing Supervisor

Phone

(850) 608-6288

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David E Phillips, M.D.

  • Pulmonary Disease Physician
  • Santa Rosa Beach, FL
  • NPI 1962487991

  Critical Care Medicine

  Medicare reassignment NPD
• Rhonda Kay Robbins, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1578765350
  NPD (past)
• Rodney D Soto, MD

  • Neurology Physician
  • Montgomery, AL
  • NPI 1588616890
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1801294962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MACK BAYOU LOOP STE 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597197",
            "telephone_number": "850-608-6288",
            "fax_number": "850-608-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MACK BAYOU LOOP STE 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597197",
            "telephone_number": "850-608-6288",
            "fax_number": "850-608-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN PULMONARY CRITICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "YERBY",
        "authorized_official_first_name": "PANDRA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "850-608-6288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014076700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Deman, RBT
• Snehal Desai, MD
• Destin Hearing Associates LLC
• Destin Ophthalmology PA
• Destin Podiatry LLC (Coastal Foot & Ankle)
• Doc Smiley's Urgent Care LLC
• Yvette Denise Donaldson, CRNP
• Rodney Dixon Dorand, M.D.
• Michelle Dugas
• Dunn Diabetes & Wellness Center, PA

• Critical Care Medicine (Internal Medicine) Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.