Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790760841 Individual Practitioner Male Practitioner

Dr. Keith Michael Krist , MD

Pediatrics • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Keith Krist, MD is a registered healthcare professional specializing in Pediatrics in Fort Walton Beach, FL. Practice services are available at 1005 MAR WALT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1005 Mar Walt Drive
Pediatric Department

Fort Walton Beach, FL 32547

Telephone 8508638203
Fax 8508620977
Associated Practice Facility / Clinic
🏢 Panama City Pulmonary Llc Facility NPI 1689998940

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Walton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Fort Walton Beach, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME85707

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
265080100 (FL)
Commercial Insurance / Payer ID Bcbsfl
51445 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Terry Payne , MD

Family Medicine

NPI 1053396002

Doctor of Medicine (M.D.)

Heather Shelton , ARNP

Nurse Practitioner

NPI 1083162457

Advanced Registered Nurse Practitioner

Brianne Freel

Nurse Practitioner - Family

NPI 1134630197
Erica Clarkson

Nurse Practitioner

NPI 1184952400
NPI 1265417166

Doctor of Medicine (M.D.)

NPI 1275519886

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2017

Registered at 1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547 (Tel: 8508638203)

📍
Updated Business Mailing Address January 16, 2017

Registered at 1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547 (Tel: 8508638203)

👤
Provider Name / Credentials Updated January 16, 2017

Recorded as KEITH KRIST, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2017

Pediatrics (License #ME85707 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547 (Tel: 8508638203)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547 (Tel: 8508638203)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH KRIST, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME85707 in FL)

🟢
Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790760841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2005
Last Update: January 16, 2017
Sole Proprietor: No

Mailing Address

1005 Mar Walt Drive, Pediatric Department

Fort Walton Beach, FL 32547

Phone: 8508638203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.