Eugene Wiley Wilson Iv (NPI# 1922099746, PAC ID# 8527243328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1922099746 |
| PAC ID by PECOS | 8527243328 |
| Professional Enrollment ID | I20120516000217 |
| Full Name | Eugene Wiley Wilson Iv |
| Organization Legal Name | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| Address |
100 Bon Air Dr Apt 1601 Augusta GA 30907-3228 |
| Phone Number | 8004372672 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1456381136 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050045 | EL CENTRO REGIONAL MEDICAL CENTER |
| 100018 | NAPLES COMMUNITY HOSPITAL |
| 230080 | MCLAREN CENTRAL MICHIGAN |
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360036 | WOOSTER COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Bon Air Dr, Apt 1601, Augusta, GA 30907-3228 | 8004372672 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 119 Oakfield Dr, Brandon, FL 33511-5779 | 8136815551 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 1845 Veterans Park Dr, Suite 150, Naples, FL 34109-0493 | 2392545027 | NCHMD INC |
| 5415 River Oak Way, Phenix City, AL 36867-1325 | 8004372672 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 5415 River Oak Way, Phenix City, AL 36867-1325 | RADIOLOGY PHYSICIAN SOLUTIONS OF NORTH FLORIDA LLC | |
| 5415 River Oak Way, Phenix City, AL 36867-1325 | 8552921401 | FANDS RADIOLOGY PC |
| 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 9416393131 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 9330 State Rd, Suite 54, Trinity, FL 34655-1808 | 7278481733 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Daniel Snyder | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 5368 27th St Nw, Washington, DC 20015-1328 |
| Julie Babb Sanders | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 475 Brickell Ave, Apt 5707, Miami, FL 33131-2716 |
| Hasti D Larjani | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 175 2nd St S, Ph 4, St Petersburg, FL 33701-4321 |
| Arthur E Clark | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 4305 W Sevilla St, Tampa, FL 33629-8436 |
| Luis Vaca | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 777 Preston St, Apt 26e, Houston, TX 77002-1699 |
| Harigovinda Reddy Challa | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 8736 Briar Patch Ln, Ooltewah, TN 37363-4610 |
| Stephen J Garrison | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 2565 S Pleasant Pt, Inverness, FL 34450-6201 |
| Bradley T Vanassche | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 115 N 1st Ave, Suite 103, Alpena, MI 49707-2867 |
| Ali Raza | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 20110 Gulf Blvd, Apt 400, Indian Shores, FL 33785-2452 |
| Peter A Taylor | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 352 Vista Creek Dr, Stockbridge, GA 30281-7782 |
| Street Address |
100 BON AIR DR APT 1601 |
| City | AUGUSTA |
| State | GA |
| Zip | 30907-3228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil Coombs | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Pkwy, Suite 310, Martinez, GA 30907 | |
| Sue L. Howell-fafchamps | Clinical Social Worker | 3711 Executive Ctr Dr, Suite 202 Office 1, Martinez, GA 30907 | |
| Patricia F Hanks | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| William Walker | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Cindy Ann Foster | Clinical Social Worker | 4210 Columbia Rd, Suite 4a, Martinez, GA 30907-0403 | |
| Deborah Corley | Physical Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Veronica A Maguire | Occupational Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Kim Lombardy | Chiropractic | 211 Pleasant Home Rd, Suite F2, Augusta, GA 30907-0558 | |
| Ernie E Lin | Psychiatry | 211 Pleasant Home Rd, F3, Augusta, GA 30907-0559 | |
| Find all physicians in zip 30907 | |||
| City | AUGUSTA |
| Zip Code | 30907 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | AUGUSTA + DIAGNOSTIC RADIOLOGY |
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| 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.