WILLISTON PEDIATRICS, INC (NPI# 1326137001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326137001 |
Entity Type | Organization |
Organization Name | WILLISTON PEDIATRICS, INC |
Practice Address |
223 N Main St Williston FL 32696-2136 |
Practice Telephone | 3525290477 |
Practice Fax Number | 3525290406 |
Mailing Telephone | 3525290477 |
Mailing Fax Number | 3525290406 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-10-28 |
Authorized Official Name | MS. ANDREA M QUINLAN (TREASURER) |
Authorized Official Telephone | 3525290477 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 660141301 | 05 | |
FL | 660141300 | 05 |
Street Address |
223 N MAIN ST |
City | WILLISTON |
State | FL |
Zip Code | 32696-2136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740694835 | Heather Nicole Stancil | Nurse Practitioner | 223 N Main St, Williston, FL 32696-2136 | 2014-06-17 |
1730103599 | Casady Blauw Gaines | Pediatrics | 223 N Main St, Williston, FL 32696-2136 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
Find all providers in zip 32696 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497985162 | Barnwell County Hospital | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2009-07-16 |
1134252588 | Carolina Rural Practice Management, Inc. | Clinic/Center | 2677 Main St, Williston, SC 29853-0177 | 2007-03-14 |
1720487200 | Sc Healthcare Investments LLC | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
1952712713 | Cns Holding Company LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2014-05-15 |
1962748400 | Regional Health Partners LLC | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2013-01-02 |
1538435375 | Williston Rural Health and Wellness Clinic LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2012-03-27 |
1629247259 | Cypress Health Systems Florida Inc. | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2008-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.