Mary C Wahl (NPI# 1508370495, PAC ID# 7416203351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508370495 |
| PAC ID by PECOS | 7416203351 |
| Professional Enrollment ID | I20180706000427 |
| Full Name | Mary C Wahl |
| Organization Legal Name | NORTHWEST FLORIDA HEALTHCARE, INC. |
| Address |
1360 Brickyard Rd Chipley FL 32428-6303 |
| Phone Number | 8506381610 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668363771 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101308 | NORTHWEST FLORIDA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1360 Brickyard Rd, Chipley, FL 32428-6303 | 8506381610 | NORTHWEST FLORIDA HEALTHCARE, INC. |
| Organization Legal Name | NORTHWEST FLORIDA HEALTHCARE, INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Byrd | Internal Medicine | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Zachary W Dickson | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Jared M Grantham | Certified Registered Nurse Anesthetist (crna) | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| David K Taing | Family Medicine | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Michael D Kennedy | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Christy E Davis | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Jeffery T Horton | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Leann Davidson | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Wendy M Corbin | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Gabriel E Berry | General Surgery | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Street Address |
1360 BRICKYARD RD |
| City | CHIPLEY |
| State | FL |
| Zip | 32428-6303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Byrd | Internal Medicine | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Zachary W Dickson | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Jared M Grantham | Certified Registered Nurse Anesthetist (crna) | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| David K Taing | Family Medicine | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Ronald A Figueredo | Preventative Medicine | Hyperbaric and Woundcare Inc | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Michael D Kennedy | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Christy E Davis | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Jeffery T Horton | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Leann Davidson | Nurse Practitioner | Northwest Florida Healthcare, Inc. | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Alka A Wells | Diagnostic Radiology | Pensacola Radiology Consultants Pa | 1360 Brickyard Rd, Chipley, FL 32428-6303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Garney | Nurse Practitioner | Southern Family Healthcare, P.a. | 877 3rd St, Suite 4, Chipley, FL 32428-1855 |
| Annette G Porter | Family Medicine | Southern Family Healthcare, P.a. | 877 3rd St, Suite 4, Chipley, FL 32428-1855 |
| Mark Taylor | Chiropractic | 691 7th St, Chipley, FL 32428-1905 | |
| Sohail M Khan | Internal Medicine | Health Clinic LLC | 1351 S Blvd, Chipley, FL 32428-2219 |
| Amer R Malik | Internal Medicine | Health Clinic LLC | 1351 S Blvd, Chipley, FL 32428-2219 |
| Frances Michelle Stevens | Nurse Practitioner | Family Care Associates of Nw Florida | 925 Carlisle Rd, Chipley, FL 32428-4360 |
| Gregory K Sloan | Family Medicine | Family Care Associates of Nw Florida | 925 Carlisle Rd, Chipley, FL 32428-4360 |
| Swati Gulwani | Physical Therapy | Absolute Physical and Aquatic Therapy LLC | 1695 Main St, Chipley, FL 32428-5992 |
| Lorrie A Laurel | Physical Therapy | Absolute Physical and Aquatic Therapy LLC | 1695 Main St, Chipley, FL 32428-5992 |
| Daivya Agrawal | Physical Therapy | Absolute Physical and Aquatic Therapy LLC | 1695 Main St, Chipley, FL 32428-5992 |
| Find all physicians in zip 32428 | |||
| City | CHIPLEY |
| Zip Code | 32428 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHIPLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary C Wahl.
| 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.