NPIMap

Individual provider Active NPI

Christopher H Wilson, D.O.

  • Cardiovascular Disease Physician
  • St Petersburg, FL
National Provider Identifier
1902075708
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS10215 Issued in FL
Practice address
560 Jackson St N
100
St Petersburg, FL 33705-1449
Phone
(727) 329-1600
Fax
(727) 329-1694
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS10215 FL Primary

Addresses

Primary practice location

560 Jackson St N
100
St Petersburg, FL 33705-1449

Mailing address

495 Gilman CT N
St Petersburg, FL 33716-1302
Phone (727) 329-1600

Other identifiers 1

IdentifierTypeStateIssuer
006246800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000764 FL Practitioner - Cardiovascular Disease (Cardiology) 9133377989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

6006 49TH St N
Suite 200
Saint Petersburg, FL 33709-2149
Phone (727) 490-2100

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10215FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Anthony'S Professional Buildings & Services, Inc CurrentSince Jan 1, 2013 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jan 1, 2016 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc Current Accepting new patients
West Florida Cardiology Network, LLC Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc CurrentSince Jan 1, 2013 Accepting new patients
Cardiology Consultants PastSince Aug 1, 2012 Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

560 Jackson St N
Ste 100
St Petersburg, FL 33705
Phone (727) 214-1414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1902075708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GILMAN CT N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161302",
            "telephone_number": "727-329-1600",
            "fax_number": "727-329-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N",
            "address_2": "100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-329-1600",
            "fax_number": "727-329-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS10215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006246800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.