NPIMap

Organization Active NPI

White-Wilson Medical Center, P.a.

Doing business as White-Wilson Med Ctr-Destin Peds

  • Pediatrics Physician
  • Destin, FL
National Provider Identifier
1184761538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WHITE-WILSON MEDICAL CENTER, P.A.
Doing business as
White-Wilson Med Ctr-Destin Peds
Practice address
990 Airport Rd
Pediatric Department
Destin, FL 32541-2820
Phone
(850) 837-3848
Fax
(850) 654-9581
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Douglas W Rigby, M.D.NPI 1265417166
Title
President
Phone
(850) 863-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

990 Airport Rd
Pediatric Department
Destin, FL 32541-2820

Mailing address

1005 Mar Walt Dr
Business Office
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8105

Other names 1

  • White-Wilson Med Ctr-Destin Peds Doing business as

National Provider Directory

National Provider Directory
Tax ID family
White Wilson Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184761538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "address_2": "BUSINESS OFFICE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8105",
            "fax_number": "850-863-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 AIRPORT RD",
            "address_2": "PEDIATRIC DEPARTMENT",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412820",
            "telephone_number": "850-837-3848",
            "fax_number": "850-654-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE-WILSON MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIGBY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-863-8131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White-Wilson Med Ctr-Destin Peds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.