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Active NPI 1245297340 Individual Practitioner Male Practitioner

Larry Todd Wilson , PA-C

Physician Assistant • Maitland, FL

Professional Overview & Biography Verified Profile Summary

Larry Wilson, PA-C is a registered healthcare professional specializing in Physician Assistant in Maitland, FL. Practice services are available at 2600 WESTHALL LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2600 Westhall Ln

Maitland, FL 327517102

Telephone 4072002300
Fax 4073030580
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
36 Specialists

Practicing in Maitland, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $240.00 $91.88

Medical Specialties & State Licenses

CMS Verified: 2023-10-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA-9110091

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1073558987

Doctor of Medicine (M.D.)

Dr. Nabil Guindi , MD

Internal Medicine

NPI 1215180922

Doctor of Medicine (M.D.)

Jazmine Garcia , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1396201018

NURSEPRACTITIONER

Alisha Ottati

Nurse Practitioner - Family

NPI 1568927200
Danaides Duverge , ARNP

Nurse Practitioner - Family

NPI 1841027067

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 11, 2023

Registered at 2600 WESTHALL LN, MAITLAND, FL 327517102 (Tel: 4072002300)

📍
Updated Business Mailing Address October 11, 2023

Registered at 2600 WESTHALL LN, MAITLAND, FL 327517102 (Tel: 4072002300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Physician Assistant (License #PA-9110091 in FL)

📍
Updated Practice Location April 16, 2018

Registered at 3250 ZEMKE AVE, TAMPA, FL 336215023 (Tel: 8138279870)

📍
Updated Business Mailing Address April 16, 2018

Registered at 3250 ZEMKE AVE, TAMPA, FL 336215023 (Tel: 8138279870)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 471 MAIN ST, MADISON, WV 251301223 (Tel: 3043695530)

📍
Updated Business Mailing Address July 08, 2007

Registered at 471 MAIN ST, MADISON, WV 251301223 (Tel: 3043695530)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #959 in WV)

🟢
Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245297340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: October 11, 2023
Sole Proprietor: No

Mailing Address

2600 Westhall Ln

Maitland, FL 327517102

Phone: 4072002300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.