MR. ILAN E WILDE PAC
NPI 1265489801
Physician Assistant in Toppenish, WA

Q: What is Ilan Wilde's NPI number?

The NPI number for Ilan Wilde is 1265489801. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Ilan Wilde's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilan Wilde was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 28, 2006

518 W 1ST AVE, TOPPENISH, WA 98948(509) 865-5600(509) 865-5783 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Ilan E Wilde Pac NPPES

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

MR. ILAN E WILDE PAC (NPI 1265489801) is an individual physician assistant in Toppenish, Washington, licensed in Georgia (004580) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1265489801

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ILAN E WILDECredential: PAC

Location Address518 W 1ST AVEToppenish, WA 98948-1564

Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 856-2395 · Fax (509) 865-0757

Phone(509) 865-5600

Fax(509) 865-5783

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateAugust 6, 2014

✔ NPI 1265489801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 004580

Definition

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.

518 W 1ST AVE, Toppenish, WA 98948

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