Warren Owen Whitlock Jr. (NPI# 1538126156, PAC ID# 0143295154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538126156 |
| PAC ID by PECOS | 0143295154 |
| Professional Enrollment ID | I20100429000316 |
| Full Name | Warren Owen Whitlock Jr. |
| Organization Legal Name | FLAGLER FAMILY MEDICINE P A |
| Address |
130 Health Park Blvd St Augustine FL 32086-5776 |
| Phone Number | 9048263469 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9335114347 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 Health Park Blvd, St Augustine, FL 32086-5776 | 9048263469 | FLAGLER FAMILY MEDICINE P A |
| Organization Legal Name | FLAGLER FAMILY MEDICINE P A |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joann T Fritsch | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Frederick Chaz Dolgin | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Jerry Weed | Podiatry | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Linda Sue Clonch | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Suzanne S Weed | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Andrew John Gunn | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Melissa M Senior | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Myragrace J Golmayo | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Sarah B Swiatowicz | Physician Assistant | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Mary K Schupp | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Street Address |
130 HEALTH PARK BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32086-5776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joann T Fritsch | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Frederick Chaz Dolgin | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Jerry Weed | Podiatry | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Linda Sue Clonch | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Suzanne S Weed | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Andrew John Gunn | Family Medicine | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Melissa M Senior | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Myragrace J Golmayo | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Sarah B Swiatowicz | Physician Assistant | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Mary K Schupp | Nurse Practitioner | Flagler Family Medicine P A | 130 Health Park Blvd, St Augustine, FL 32086-5776 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Jose Concha | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
| Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Find all physicians in zip 32086 | |||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST AUGUSTINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Warren Owen Whitlock Jr..
| 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.