Fort Walton Beach Heart & Lung Surgery
NPI 1164443172 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Shalimar, FL
Fort Walton Beach Heart & Lung Surgery is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician organization in Shalimar, FL (NPI 1164443172).
Provider details
- NPI number
- 1164443172
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Riley, Billing Coordinator(850) 651-9300
- License
- ME 87486 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fort Walton Beach Heart & Lung Surgery's NPI number?
- Fort Walton Beach Heart & Lung Surgery's National Provider Identifier (NPI) is 1164443172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Walton Beach Heart & Lung Surgery?
- Fort Walton Beach Heart & Lung Surgery is classified in the NPPES registry as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Walton Beach Heart & Lung Surgery located?
- Fort Walton Beach Heart & Lung Surgery's practice location on file with NPPES is 1283 Eglin Pkwy, Shalimar, FL 32579-1256.
- What is Fort Walton Beach Heart & Lung Surgery's phone number?
- The practice phone number listed in the NPPES registry for Fort Walton Beach Heart & Lung Surgery is (850) 651-9300.
- Who is the authorized official for Fort Walton Beach Heart & Lung Surgery?
- The authorized official listed on Fort Walton Beach Heart & Lung Surgery's NPPES record is Kim Riley, Billing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Walton Beach Heart & Lung Surgery's NPI active?
- Yes — Fort Walton Beach Heart & Lung Surgery's NPI (1164443172) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.