North Florida Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME103213 Issued in FL

Legal business name

NORTH FLORIDA MEDICAL GROUP

Practice address

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Phone

(850) 747-2010

Fax

(850) 747-2016

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By 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. Kim D Shinsky

Title

Administrator

Phone

(850) 867-2006

Specialties & licenses 4

Addresses

Tax ID family

North Florida Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Florida Medical Group, LLC

  dba Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Lynn Haven, FL
  • NPI 1154633873
  NPD tax ID

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1942516935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-747-2010",
            "fax_number": "850-747-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-747-2010",
            "fax_number": "850-747-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "SHINSKY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-867-2006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME97726",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME95473",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME103213",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2800032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica W Neese, ACNPC-AG
• Lilyana S Nehring
• Neighborhood Hearts Companion Care LLC
• Robert Jason Newsom, M.D., M.P.H.
• Lisa Ann Norden, LMT
• North Florida Medical Group, LLC (Coastal Urgent Care, LLC)
• North Florida Medical Group, LLC (Coastal Urgent Care and Family Medicine)
• Northwest Florida Hematology Oncology P a
• Kristian R Oenbrink, APRN
• Omni Home Health - District 2, LLC (SunCrest OMNI)

• General Practice Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.