Zachary W Wilson (NPI# 1215227301, PAC ID# 3274761572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1215227301 |
| PAC ID by PECOS | 3274761572 |
| Professional Enrollment ID | I20150508002072 |
| Full Name | Zachary W Wilson |
| Organization Legal Name | FLAGSTONE PEAK EMERGENCY PHYSICIANS LLC |
| Address |
2190 Hwy 85 N Niceville FL 32578-1045 |
| Phone Number | 8506784131 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446530877 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100054 | TWIN CITIES HOSPITAL |
| 100231 | WEST FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 8508640213 | THOMASVILLE EMERGENCY PHYSICIANS LLC |
| 2190 Hwy 85 N, Niceville, FL 32578-1045 | 8506784131 | FLAGSTONE PEAK EMERGENCY PHYSICIANS LLC |
| 8383 N Davis Hwy, W Florida Hospital, Pensacola, FL 32514-6088 | 8504944000 | PARAGON EMERGENCY SERVICES LLC |
| Organization Legal Name | FLAGSTONE PEAK EMERGENCY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Richard J Hughes | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Rebecca A Horst | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Louis Vagias Jr. | Family Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Steven L Nodine | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Street Address |
2190 HWY 85 N |
| City | NICEVILLE |
| State | FL |
| Zip | 32578-1045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Panwar Barnes | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Joe E Rogers Jr. | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michelle A Magboo | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Jeffrey S Burbidge | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Leslie J Bridges | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Ekta I Kade | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Katrina L. Tringas | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Molly Marie Everitt | Physician Assistant | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michelle P Gillespie | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kapil Puri | Urology | 490 Hwy 85 N A, Niceville, FL 32578-1045 | |
| Katia V Murphy-blount | Physician Assistant | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Richard J Hughes | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michael P Ederer | Pain Management | Coastal Anesthesia, P A | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Rebecca A Horst | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Kimberly A Berggren | Physician Assistant | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Kaetlin H Jetton | Physician Assistant | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| James Alan Derby | Family Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Robert C Morell | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Polla S Cunningha | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Find all physicians in zip 32578 | |||
| City | NICEVILLE |
| Zip Code | 32578 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NICEVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Zachary W Wilson.
| 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.