Diana M Decotis-smith (NPI# 1104055599, PAC ID# 1557500204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1104055599 |
| PAC ID by PECOS | 1557500204 |
| Professional Enrollment ID | I20130918000047 |
| Full Name | Diana M Decotis-smith |
| Organization Legal Name | NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC |
| Address |
4400 E Hwy 20 Suite 203 Niceville FL 32578-7700 |
| Phone Number | 8508633463 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5597801779 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4400 E Hwy 20, Suite 203, Niceville, FL 32578-7700 | 8508633463 | NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC |
| Organization Legal Name | NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Stiles Iii | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Noah Ridings Converse | Neurosurgery | Northwest Florida Multispecialty Physicians LLC | 870 Mack Bayou Rd, Santa Rosa Beach, FL 32459-7150 |
| Tri Huu Huynh | Gastroenterology | Northwest Florida Multispecialty Physicians LLC | 928 B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
| Emmanuel Jean-jacques | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Stephanie L Caywood | Obstetrics/gynecology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Beibei Oelrich | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Eric L Sandwith | Thoracic Surgery | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| John R Larson | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Joseph Thomas Early | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Matthew T Stringer | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Street Address |
4400 E HWY 20 SUITE 203 |
| City | NICEVILLE |
| State | FL |
| Zip | 32578-7700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Thomas Chandler | Plastic and Reconstructive Surgery | 4400 E Hwy 20, Suite 209, Niceville, FL 32578-7700 | |
| Leigh Gayle Powers | Nurse Practitioner | 4400 E Hwy 20, Suite 313, Niceville, FL 32578-7700 | |
| Lois Nannette Borland | Clinical Social Worker | 4400 E Hwy 20, Suite 306, Niceville, FL 32578-7703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Panwar Barnes | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Kapil Puri | Urology | 490 Hwy 85 N A, Niceville, FL 32578-1045 | |
| Joe E Rogers Jr. | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michelle A Magboo | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Zachary W Wilson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Jeffrey S Burbidge | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Leslie J Bridges | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Ekta I Kade | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Katrina L. Tringas | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Find all physicians in zip 32578 | |||
| City | NICEVILLE |
| Zip Code | 32578 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | NICEVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Diana M Decotis-smith.
| 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.