Philip Richard Wirt III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4043 Issued in FL

Practice address

9494 Wateroak CT
Inverness, FL 34453-1707

Phone

(352) 860-2137

Fax

(352) 860-2137

NPI assigned

Nov 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1366624827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 WATEROAK CT",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344531707",
            "telephone_number": "352-860-2137",
            "fax_number": "352-860-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 WATEROAK CT",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344531707",
            "telephone_number": "352-860-2137",
            "fax_number": "352-860-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRT",
        "first_name": "PHILIP",
        "middle_name": "RICHARD",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4043",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS4043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Kay Williams, PA-C
• Samantha Williams, MD
• Steven Williams
• Cynthia Lynn Williamson, ARNP
• Norvin Boyd Wilson Jr., RPH
• Alexia R Wofford
• Wound Care Consultants PA
• Antoinette Woychowski
• Wright Primary Care Center
• Benjamin Thomas Wright, PHARMD

• Family Medicine Physician in Inverness, FL
• Providers in Inverness, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.