Stephanie C Wilder (NPI# 1508093873, PAC ID# 9436274966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508093873 |
| PAC ID by PECOS | 9436274966 |
| Professional Enrollment ID | I20100921000329 |
| Full Name | Stephanie C Wilder |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Address |
1689 Eagle Harbor Pkwy Suite A Fleming Island FL 32003-4817 |
| Phone Number | 9042826331 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254238579 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100226 | ORANGE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 | 9042826331 | PHYSICIANS GROUP SERVICES PA |
| 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 | 9042647517 | PHYSICIANS GROUP SERVICES PA |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Correa-cedeno | Podiatry | Physicians Group Services Pa | 1821 Blanding Blvd, Suite 1, Middleburg, FL 32068-3839 |
| Megan E Andersen | Nurse Practitioner | Physicians Group Services Pa | 10250 Normandy Blvd, Unit 802, Jacksonville, FL 32221-8064 |
| Katarina A Devault | Nurse Practitioner | Physicians Group Services Pa | 2726 Saint Johns Ave, Suite 101, Jacksonville, FL 32205-8258 |
| Renee A Gallo | Pain Management | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Andrea M Patterson | Nurse Practitioner | Physicians Group Services Pa | 1906 Southside Blvd, Jacksonville, FL 32216-1930 |
| Christine Kay Turner | Nurse Practitioner | Physicians Group Services Pa | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 |
| Kent Braeutigam | Family Medicine | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Michael A Edwards | Family Medicine | Physicians Group Services Pa | 421 Kingsley Ave, Suite 401, Orange Park, FL 32073-4898 |
| Peter Perry | Physician Assistant | Physicians Group Services Pa | 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Street Address |
1689 EAGLE HARBOR PKWY SUITE A |
| City | FLEMING ISLAND |
| State | FL |
| Zip | 32003-4817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Harrell Mccoskey Ii | Pulmonary Disease | Eugene H Mccoskey Do Pa | 1689 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4817 |
| Annabelle M Matias | Internal Medicine | Physicians Group Services Pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
| Ahmad Shah Barakzoy | Nephrology | 1689 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4817 | |
| Naja Naddaf | Internal Medicine | Physicians Group Services Pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
| Jessica N Mclaughlin | Nurse Practitioner | Eugene H Mccoskey Do Pa | 1689 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4817 |
| David R Grech | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
| William J Davila | Internal Medicine | Physicians Group Services Pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
| Scott A Nelson | Physician Assistant | Eugene H Mccoskey Do Pa | 1689 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4817 |
| Luis Laos | Pulmonary Disease | Eugene H Mccoskey Do Pa | 1689 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4817 |
| Anne Witt | Nurse Practitioner | Physicians Group Services Pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Barbara J Mcdougall | Psychologist, Clinical | 4609 Hwy 17 1, Fleming Island, FL 32003 | |
| Jeffrey Blake Burnette | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Vanessa J Embry | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389 |
| Murren Hill | Psychologist, Clinical | 414 Old Hard Rd, Suite 108, Fleming Island, FL 32003-3407 | |
| Sathavaram Aravind Reddy | Interventional Pain Management | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Find all physicians in zip 32003 | |||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FLEMING ISLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephanie C Wilder.
| 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.