Derek Jimenez (NPI# 1194846923, PAC ID# 5991890428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1194846923 |
| PAC ID by PECOS | 5991890428 |
| Professional Enrollment ID | I20070928000406 |
| Full Name | Derek Jimenez |
| Organization Legal Name | PENSACOLA NEPHROLOGY PA |
| Address |
925 Mar Walt Dr Suite 1 Fort Walton Beach FL 32547-6609 |
| Phone Number | 8508622385 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214832856 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| 100054 | TWIN CITIES HOSPITAL |
| 100081 | HEALTHMARK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 | 8508622385 | PENSACOLA NEPHROLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 92% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 34% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 82% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 11% |
| Organization Legal Name | PENSACOLA NEPHROLOGY PA |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas S Keith | Nephrology | Pensacola Nephrology Pa | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 |
| Douglas L Bunting Jr. | Nephrology | Pensacola Nephrology Pa | 406 Medical Park Dr, Atmore, AL 36502-3016 |
| James Peter Martin | Nephrology | Pensacola Nephrology Pa | 4415 Us Hwy 331 S, Defuniak Springs, FL 32435-6307 |
| Christopher Scott Reid | Nephrology | Pensacola Nephrology Pa | 118 Obrannon Park Ave, Dothan, AL 36303-2052 |
| Rebecca Allen Thompson | Nurse Practitioner | Pensacola Nephrology Pa | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 |
| Maged Nagib Nashed | Nephrology | Pensacola Nephrology Pa | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 |
| Ronnie Dee Wiles | Nephrology | Pensacola Nephrology Pa | 1717 N E St, Suite 403, Pensacola, FL 32501-6364 |
| Joe Renaldo Cotti | Physician Assistant | Pensacola Nephrology Pa | 1717 N E St, Suite 403, Pensacola, FL 32501-6364 |
| Tawana Cooper | Nurse Practitioner | Pensacola Nephrology Pa | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 |
| Benjamin Huang | Nephrology | Pensacola Nephrology Pa | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 |
| Street Address |
925 MAR WALT DR SUITE 1 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Dean Vannorsdall | Nephrology | Fresenius Vascular Care Pensacola LLC | 925 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Nicholas A Nagrani | Nephrology | Pensacola Nephrology Pa | 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 |
| Misty Lynn Willis | Nurse Practitioner | Pensacola Nephrology Pa | 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | NEPHROLOGY |
| City + Specialty | FORT WALTON BEACH + NEPHROLOGY |
Please comment or provide details below to improve the information on Derek Jimenez.
| 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.