FORT WALTON BEACH HEART & LUNG SURGERY
NPI 1164443172
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Shalimar, FL

Q: What is Fort Walton Beach Heart & Lung Surgery's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since July 22, 2006

1283 EGLIN PKWY, SUITE B, SHALIMAR, FL 32579(850) 651-9300(850) 651-3345 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fort Walton Beach Heart & Lung Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WALTON BEACH HEART & LUNG SURGERY (NPI 1164443172) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Shalimar, Florida and active in the NPI registry since July 2006. The organization lists Kim Riley, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164443172

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameFORT WALTON BEACH HEART & LUNG SURGERY

Location Address1283 EGLIN PKWY, SUITE BShalimar, FL 32579-1256

Mailing AddressPo Box 1150Shalimar, FL 32579-5150 · (850) 651-9300 · Fax (850) 651-3345

Phone(850) 651-9300

Fax(850) 651-3345

Organization SubpartNo

Authorized OfficialKim RileyBilling Coordinator · (850) 651-9300

Enumeration DateJuly 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164443172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in FL · ME 87486

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1283 EGLIN PKWY, Shalimar, FL 32579

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Walton Beach Heart & Lung Surgery's NPI number?

The NPI number for Fort Walton Beach Heart & Lung Surgery is 1164443172. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Fort Walton Beach Heart & Lung Surgery located?

Fort Walton Beach Heart & Lung Surgery is located at 1283 Eglin Pkwy Suite B, Shalimar, FL 32579. The listed phone number is (850) 651-9300.

What is Fort Walton Beach Heart & Lung Surgery's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Fort Walton Beach Heart & Lung Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.