WHITE-WILSON MEDICAL CENTER, P.A. (NPI# 1447474234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447474234 |
| Entity Type | Organization |
| Organization Name | WHITE-WILSON MEDICAL CENTER, P.A. |
| Other Organization Name | WHITE-WILSON BWB PEDS DEPARTMENT |
| Practice Address |
2001 E. Highway 20 Pediatric Department Niceville FL 32578 |
| Mailing Address |
1005 Mar Walt Drive Business Office Fort Walton Beach FL 32547-6707 |
| Practice Telephone | 8508974400 |
| Practice Fax Number | 8508970623 |
| Mailing Telephone | 8508638105 |
| Mailing Fax Number | 8508638548 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS WINSTON RIGBY (PRESIDENT) |
| Authorized Official Telephone | 8508638150 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| White-Wilson BWB Peds Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013054469 | White-wilson Medical Center, P.a. | Family Medicine | 2001 E Highway 20, Family Practice Department, Niceville, FL 32578-8826 | 2007-02-01 |
| 1134267537 | White-wilson Medical Center, P.a. | Family Medicine | 1005 Mar Walt Dr, Fp Department, Fort Walton Beach, FL 32547-6707 | 2007-02-01 |
| 1184761538 | White-wilson Medical Center, P.a. | Pediatrics | 990 Airport Rd, Pediatric Department, Destin, FL 32541-2820 | 2007-02-01 |
| 1518005917 | White-wilson Medical Center, P.a. | Pediatrics | 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547-6707 | 2007-02-01 |
| Street Address |
2001 E. HIGHWAY 20 PEDIATRIC DEPARTMENT |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376533869 | Evan R. Meeks | Pediatrics | 2001 E. Highway 20, Pediatric Department, Niceville, FL 32578 | 2005-10-26 |
| 1003298969 | Amanda Michelle Outly | Physician Assistant | 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 | 2015-06-26 |
| 1811269616 | Meghan Anne Lanzola | Nurse Practitioner | 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 | 2012-02-08 |
| 1124036330 | Janet Aileen Reeves | Nurse Practitioner | 2001 E. Highway 20, Immediate Care Department, Niceville, FL 32578-8826 | 2006-08-03 |
| 1962469981 | Ronald Lee Barnes | Family Medicine | 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326335050 | Abc Pediatrics | Pediatrics | 1403 Catmar Rd, Niceville, FL 32578-9742 | 2011-07-01 |
| 1245520279 | Erin Breeann Lindholm | Pediatrics | 1617 Oakmont Circle, Niceville, FL 32578 | 2011-04-11 |
| 1972579001 | Alberto Barbon-guisasola | Pediatrics | 1005 College Blvd, Suite B, Niceville, FL 32578 | 2006-02-28 |
| 1831169838 | Tracey R Burton-lindner | Pediatrics | 1001 W College Blvd, Suite C, Niceville, FL 32578 | 2006-01-24 |
| 1376533869 | Evan R. Meeks | Pediatrics | 2001 E. Highway 20, Pediatric Department, Niceville, FL 32578 | 2005-10-26 |
| 1982696589 | Tracey R Burton Lindner Md Pa Dba | Pediatrics | 1001 College Blvd W, Suite C, Niceville, FL 32578-1099 | 2005-08-19 |
| 1548286552 | Abc Pediatrics | Pediatrics | 1005 College Blvd W, Suite B, Niceville, FL 32578-1053 | 2006-07-14 |
| 1619957503 | Lynn M Keefe | Pediatrics | 2600 Partin Dr N, Bldg 300 Suite 320, Niceville, FL 32578-1542 | 2006-01-18 |
| 1891770723 | Kyle Edwin Simmers | Pediatrics | 2001 E Highway 20, Pediatric Department, Niceville, FL 32578-8826 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.