Surgical Associates of Northwest FL PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

NOT APPLICABLE Issued in FL

Legal business name

SURGICAL ASSOCIATES OF NORTHWEST FL PA

Practice address

740 Harrison Ave
Panama City, FL 32401-2524

Phone

(850) 785-3232

Fax

(850) 747-8648

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Boulware Wilson, M.D.

Title

President

Phone

(850) 785-3232

Specialties & licenses 1

Addresses

Other names 1

• Surgical Associates of Northwest FL PA Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922031343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-785-3232",
            "fax_number": "850-747-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-785-3232",
            "fax_number": "850-747-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF NORTHWEST FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BOULWARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-785-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Associates of Northwest FL PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunrise Endodontics PLLC
• Jeremy Alexander Sunseri, M.D.
• Sunstone Massage and Wellness LLC
• Superiaire Oxygen & Equipment, Inc.
• Surgical Assistants of NW Florida, LLC
• Susan Culverhouse, MD PA
• Ann Marie Sutton, L.M.T.
• Antwanette Denise Sutton
• Zachary S Sutton, MS, RMHCI #24680
• Suzanne Martincak , PL

• Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Surgery Physician in Florida

• 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.