Active NPI
William F. Pearson, MD
- Anesthesiology Physician
- Niceville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME89349
- Practice address
- 4500 Berringer Dr
Niceville, FL 32578-4258 - Phone
- (850) 279-6564
- NPI assigned
- Feb 21, 2006
- Last updated
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME89349 | FL | Primary |
Addresses
Primary practice location
4500 Berringer Dr
Niceville, FL 32578-4258
Mailing address
4500 Berringer Dr
Niceville, FL 32578-4258
Phone (850) 279-6564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272689100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Anesthesia Services of San Joaquin, P.C. | Anesthesiology | Current | Accepting new patients |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Anesthesiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Anesthesiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Broad Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1541 Florida Ave
Modesto, CA 95350
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
Interoperability endpoints
- wpearson589655@hisp.ehr.sutterhealth.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Anesthesiology
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1619537073
-
dba Desert Region Family Medicine
- Internal Medicine Physician
- La Quinta, CA
- NPI 1841621323
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1619942968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 BERRINGER DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325784258",
"telephone_number": "850-279-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BERRINGER DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325784258",
"telephone_number": "850-279-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME89349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272689100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.