Brittany Nicole Grimes (NPI# 1013434570, PAC ID# 0143587048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013434570 |
| PAC ID by PECOS | 0143587048 |
| Professional Enrollment ID | I20171201000514 |
| Full Name | Brittany Nicole Grimes |
| Organization Legal Name | OKALOOSA CARDIOLOGY P A |
| Address |
129 E Redstone Ave Suite A Crestview FL 32539-5350 |
| Phone Number | 8506827212 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315920899 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100054 | TWIN CITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 | 8506827212 | OKALOOSA CARDIOLOGY P A |
| Organization Legal Name | OKALOOSA CARDIOLOGY P A |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly J Smidebush | Nurse Practitioner | Okaloosa Cardiology P A | 921 Northwest Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Marcello A Borzatta | Vascular Surgery | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Ajit Janardhan | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Anthony Sayah Al Dehneh | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Angel Morrobel | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Kaitlin L Bennett | Physician Assistant | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Mark Katzenstein | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 921 Northwest Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Street Address |
129 E REDSTONE AVE SUITE A |
| City | CRESTVIEW |
| State | FL |
| Zip | 32539-5350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Marcello A Borzatta | Vascular Surgery | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Ajit Janardhan | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Anthony Sayah Al Dehneh | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Angel Morrobel | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Kaitlin L Bennett | Physician Assistant | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Bulla | Physical Therapy | 521 E Cedar Ave, Crestview, FL 32539-2803 | |
| Tanesha N Turner | Nurse Practitioner | Minute Clinic LLC | 302 E James Lee Blvd, Crestview, FL 32539-2827 |
| Sally A Cooper | Family Medicine | Florida Department of Health | 810 E James Lee Blvd, Crestview, FL 32539-3118 |
| Michelle L Milligan | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Nina J Gawlik | Psychologist, Clinical | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Lisa Burner | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Trista Shari Moffett | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Daran J Mason | General Surgery | North Okaloosa Clinic Corp | 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 |
| David A Norfleet | Anesthesiology | Okaloosa Pain Consultants P A | 150 E Redstone Ave, Crestview, FL 32539-5322 |
| Vicente A Mendez | Internal Medicine | North Okaloosa Clinic Corp | 130 E Redstone Ave, Crestview, FL 32539-5348 |
| Find all physicians in zip 32539 | |||
| City | CRESTVIEW |
| Zip Code | 32539 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRESTVIEW + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.