William Walsh Thomas Iii (NPI# 1417393216, PAC ID# 8224393319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1417393216 |
| PAC ID by PECOS | 8224393319 |
| Professional Enrollment ID | I20190422001541 |
| Full Name | William Walsh Thomas Iii |
| Organization Legal Name | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Address |
1301 W Palm Ave Jacksonville FL 32254-2349 |
| Phone Number | 9042027300 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5991932063 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1301 W Palm Ave, Jacksonville, FL 32254-2349 | 9042027300 | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Organization Legal Name | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aakash M Modi | Pulmonary Disease | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Zheng Z Topp | Hematology/oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Joe Putnam | Thoracic Surgery | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Russell B Smith | Otolaryngology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Brittany Folsom Bryant | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Cynthia S Anderson | Radiation Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Sarah R Griffis | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Barrett Zachary Mccormick | Urology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Paul W Nowicki | Gynecological Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Nguyen Dan J Tran | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Street Address |
1301 W PALM AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32254-2349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aakash M Modi | Pulmonary Disease | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Barrett Zachary Mccormick | Urology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Paul W Nowicki | Gynecological Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Candice L Vanderschaaf | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Oxana Norkina | Gastroenterology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Omar M Mahmoud | Radiation Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Karen Ann Greenan | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Jacquelene Marie Carson | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Robert Cavaliere | Neurology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Faisal Iftikhar Ahmad | Otolaryngology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Curran | Nurse Practitioner | Mental Health Resource Center Inc | 3333 W 20th St, Jacksonville, FL 32254-1703 |
| Dale K Miller | Psychiatry | Mental Health Resource Center Inc | 3333 W 20th St, Jacksonville, FL 32254-1703 |
| Juan Felipe Garcia | Internal Medicine | 1718 Edgewood Ave N, Jacksonville, FL 32254-1757 | |
| Robert Zaiden | Medical Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Maxim Norkin | Hematology/oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Jessica C Terrell | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Joyce Q Couch | Clinical Social Worker | South Rehabilitation Center, Inc | 580 Ellis S Rd, Suite 118, Jacksonville, FL 32254-3567 |
| City | JACKSONVILLE |
| Zip Code | 32254 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | JACKSONVILLE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on William Walsh Thomas Iii.
| 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.