WILD MEDICAL
NPI 1205062437
Durable Medical Equipment & Medical Supplies in Little Rock, AR

Q: What is Wild Medical's NPI number?

The NPI number for Wild Medical is 1205062437. It was assigned to this organization in the NPPES registry on June 2, 2009.

Q: What is Wild Medical's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Wild Medical was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2009

2821 KAVANAUGH BLVD STE 1C, LITTLE ROCK, AR 72205(501) 235-8978(501) 325-3059 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wild Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD MEDICAL (NPI 1205062437) is a healthcare organization registered as a durable medical equipment & medical supplies in Little Rock, Arkansas and active in the NPI registry since June 2009. The organization lists Stephen Wild, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1205062437

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWILD MEDICAL

Location Address2821 KAVANAUGH BLVD STE 1CLittle Rock, AR 72205-3868

Mailing Address2821 Kavanaugh Blvd Ste 1cLittle Rock, AR 72205-3868 · (501) 235-8978 · Fax (501) 325-3059

Phone(501) 235-8978

Fax(501) 325-3059

Organization SubpartNo

Authorized OfficialStephen WildC.e.o. · (501) 613-4724

Enumeration DateJune 2, 2009

Last NPPES UpdateJuly 19, 2010

✔ NPI 1205062437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in AR · MG00958

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2821 KAVANAUGH BLVD STE 1C, Little Rock, AR 72205

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Other Identifiers 1

Medicare NSC6259680001AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Medical's NPI number?

The NPI number for Wild Medical is 1205062437. It was assigned to this organization in the NPPES registry on June 2, 2009.

Where is Wild Medical located?

Wild Medical is located at 2821 Kavanaugh Blvd Ste 1C, Little Rock, AR 72205. The listed phone number is (501) 235-8978.

What is Wild Medical's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Wild Medical was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.