Casey V Wilson (NPI# 1043324148, PAC ID# 0648276022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043324148 |
| PAC ID by PECOS | 0648276022 |
| Professional Enrollment ID | I20061006000395 |
| Full Name | Casey V Wilson |
| Organization Legal Name | ORMOND MEDICAL ARTS |
| Address |
77 W Granada Blvd Ormond Beach FL 32174-6302 |
| Phone Number | 9046770453 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254222565 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 999 W Plymouth Ave, Deland, FL 32720-3134 | 3867407080 | ORMOND MEDICAL ARTS |
| 2582 S Volusia Ave, Orange City, FL 32763-9124 | 3869602009 | ORMOND MEDICAL ARTS |
| 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 9046770453 | ORMOND MEDICAL ARTS |
| Organization Legal Name | ORMOND MEDICAL ARTS |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Vega Darnell | Nurse Practitioner | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Mary T Izzo | Nurse Practitioner | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Sandford H Kinne Iii | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Brittany Diane Newton | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Ana I Figueroa | Physician Assistant | Ormond Medical Arts | 21 Hospital Dr, Suite 280, Palm Coast, FL 32164-2456 |
| David Wesley Carpenter | General Practice | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Lyudmila I Cheban | Physician Assistant | Ormond Medical Arts | 21 Hospital Dr, Suite 280, Palm Coast, FL 32164-2456 |
| Stephanie Dawn Stovall | Physician Assistant | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| James Richard Shoemaker | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Suresh J Kandavanam | General Practice | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Street Address |
77 W GRANADA BLVD |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32174-6302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Vega Darnell | Nurse Practitioner | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Mary T Izzo | Nurse Practitioner | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Sandford H Kinne Iii | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Brittany Diane Newton | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| David Wesley Carpenter | General Practice | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Stephanie Dawn Stovall | Physician Assistant | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| James Richard Shoemaker | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Suresh J Kandavanam | General Practice | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Bruce Rankin | Family Medicine | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Jennifer Lynn Rake | Physician Assistant | Ormond Medical Arts | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Van Ost | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Douglas Brian Hill | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Therese A Ibrahim | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Zaw Myint | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Teresa Ann Bowers | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Brian Hockensmith | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Maria Gontcharova | Internal Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Find all physicians in zip 32174 | |||
| City | ORMOND BEACH |
| Zip Code | 32174 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORMOND BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Casey V Wilson.
| 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.