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MAIN STREET MEDICAL CENTER
NPI 1790116762
Internal Medicine in Crestview, FL

Active since December 02, 2013
369 N MAIN ST, CRESTVIEW, FL 32536(850) 398-6963(850) 398-8277 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Main Street Medical Center NPPES

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

MAIN STREET MEDICAL CENTER (NPI 1790116762) is a healthcare organization registered as an internal medicine in Crestview, Florida and active in the NPI registry since December 2013. The organization lists Joshua K Kolmetz, President, as its authorized official.

NPPES Registry Identity

NPI1790116762
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAIN STREET MEDICAL CENTER
Location Address369 N MAIN STCrestview, FL 32536-3541
Mailing Address369 N Main StCrestview, FL 32536-3541 · (850) 398-6963 · Fax (850) 398-8277
Phone(850) 398-6963
Fax(850) 398-8277
Organization SubpartNo
Authorized OfficialJoshua K KolmetzPresident · (850) 398-6963
Enumeration DateDecember 2, 2013
✔ NPI 1790116762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
369 N MAIN ST, Crestview, FL 32536
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITA MARIE DANLAG FNP-C
Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963
DENNIS A STEWART MD
Surgery
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 689-3123
JONATHAN ASPINWALL ARNP
Nurse Practitioner (Acute Care)
369 N MAIN ST, UITE A
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963
COURTNEY ANN STANLEY APRN
Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963
MS. AMY RENEE RUSSELL ARNP
Nurse Practitioner (Primary Care)
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 332-2589
LINDSAY K ADAMS APRN
Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963
JOHN CUTHRIELL APRN
Nurse Practitioner (Family)
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963
BONNIE L. GRUNDEL PA-C
Physician Assistant
369 N MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 398-6963

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 Main Street Medical Center's NPI number?

The NPI number for Main Street Medical Center is 1790116762. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Main Street Medical Center located?

Main Street Medical Center is located at 369 N Main St, Crestview, FL 32536. The listed phone number is (850) 398-6963.

What is Main Street Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Main Street Medical Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Main Street Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Medical Center was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.