Individual provider Active NPI

William F. Pearson, MD

  • Anesthesiology Physician
  • Niceville, FL
National Provider Identifier
1619942968
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME89349 Issued in FL
Practice address
4500 Berringer Dr
Niceville, FL 32578-4258
Phone
(850) 279-6564
NPI assigned
Feb 21, 2006
Last updated
Aug 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272689100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080505000276 CA Practitioner - Anesthesiology 3375570070 Reassigns benefits to 4 organizations
I20240930001529 OR Practitioner - Anesthesiology 3375570070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 1, 2021 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 CurrentSince Jul 2, 2022 Accepting new patients
Salem Health CurrentSince Sep 16, 2024 Accepting new patients
Salem Health CurrentSince Sep 16, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Anesthesiology CurrentSince Nov 10, 2024 Accepting new patients
Sutter Valley Medical Foundation Anesthesiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2019 Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2024 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.