DR. TED RICHARD WILSON M.D. NPI 1588659262

NPI Information

  • NPI: 1588659262
  • Provider Name: DR. TED RICHARD WILSON, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 740 HARRISON AVE
    PANAMA CITY, FL
    ZIP 32401
  • Phone: (850) 785-3232

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NPI Details

DR. Ted Richard Wilson, M.D. is a surgery in Panama City, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Ted Richard Wilson, M.D. NPI is 1588659262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

740 HARRISON AVE
PANAMA CITY, FL
ZIP 32401-524
Phone: (850) 785-3232
Fax: (850) 747-8648

The enumeration date for this NPI number is 9/19/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryME18674FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103074ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAINDIVIDUAL PROVIDER #
2D50724MEDICARE UPINFLORIDA
300874MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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