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Deactivated NPI 1588659262 Deactivated / Inactive NPI Male Practitioner

Dr. Ted Richard Wilson , MD

Surgery • Panama City, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ted Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Wilson, MD was a registered Surgery practicing in Panama City, FL. Throughout an active medical career spanning 1 years, Dr. Wilson provided care at the practice location at 740 HARRISON AVE until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

740 Harrison Ave

Panama City, FL 324012524

Telephone 8507853232
Fax 8507478648
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Panama City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Panama City, FL (2030 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME18674

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1013907583

Doctor of Medicine (M.D.)

Ronald Houser , PA-C

Physician Assistant

NPI 1184764938

Physician Assistant (Certified)

Robin Haussmann , PA-C

Physician Assistant - Surgical

NPI 1275866501

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 740 HARRISON AVE, PANAMA CITY, FL 324012524 (Tel: 8507853232)

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Updated Business Mailing Address July 08, 2007

Registered at 740 HARRISON AVE, PANAMA CITY, FL 324012524 (Tel: 8507853232)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TED WILSON, M.D.

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

Surgery (License #ME18674 in FL)

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NPI Profile Reactivated April 14, 2006

Record officially reactivated for active practice on April 14, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 19, 2005

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: 1588659262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2005
Last Update: July 13, 2026
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

740 Harrison Ave

Panama City, FL 324012524

Phone: 8507853232

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.