John D Sites (NPI# 1043322159, PAC ID# 7012054166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043322159 |
| PAC ID by PECOS | 7012054166 |
| Professional Enrollment ID | I20091023000146 |
| Full Name | John D Sites |
| Organization Legal Name | MAGNOLIA MEDICAL CLINIC P.A. |
| Address |
319 Green Acres Rd Suite 101 Fort Walton Beach FL 32547-1170 |
| Phone Number | 8502437681 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325185473 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100081 | HEALTHMARK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 | 8502437681 | MAGNOLIA MEDICAL CLINIC P.A. |
| Organization Legal Name | MAGNOLIA MEDICAL CLINIC P.A. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy Ansel Buckelew | Family Practice | Magnolia Medical Clinic P.a. | 131 Magnolia Ave Se, Fort Walton, FL 32548-7266 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Street Address |
319 GREEN ACRES RD SUITE 101 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Rachel Houck | Nurse Practitioner | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Robert Lowry | Nurse Practitioner | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Mauri Lunderman | General Surgery | 1775 Lewis Turner Blvd, Suite 102, Fort Walton Beach, FL 32547-1277 | |
| Francia Squatrito | Podiatry | 1775 Lewis Turner Blvd, Suite 101, Fort Walton Beach, FL 32547-1277 | |
| George A Michas | Psychiatry | Michas, Valentine and Gill, Psychiatric Associates, P.a. | 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282 |
| Elizabeth A Michas | Psychologist, Clinical | Michas, Valentine and Gill, Psychiatric Associates, P.a. | 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282 |
| Melba Carole Arrick | Psychologist, Clinical | Michas, Valentine and Gill, Psychiatric Associates, P.a. | 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282 |
| Michael J Given | Pulmonary Disease | 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1352 | |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT WALTON BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John D Sites.
| 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.