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WILDWOOD PHYSICIAN SERVICES, LLC
NPI 1629560917
Emergency Medicine in Blacksburg, VA

Active since June 01, 2018
3700 S MAIN ST, BLACKSBURG, VA 24060(540) 951-1111 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildwood Physician Services, Llc NPPES

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

WILDWOOD PHYSICIAN SERVICES, LLC (NPI 1629560917) is a healthcare organization registered as an emergency medicine in Blacksburg, Virginia and active in the NPI registry since June 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1629560917
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWILDWOOD PHYSICIAN SERVICES, LLC
Location Address3700 S MAIN STBlacksburg, VA 24060-7017
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(540) 951-1111
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateJune 1, 2018
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1629560917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3700 S MAIN ST, Blacksburg, VA 24060
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Other Identifiers 1

MedicaidI097VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILDWOOD EMERGENCY GROUP, LLC
Emergency Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
BRETT LAWRENCE ARMSTRONG MD, MBA
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
AMIN ABU HEJLEH
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
DR. STEPHEN DANIEL DO
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
ZACHARY LOGAN BIRCH DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
PETER J RECUPERO D.O.
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
DR. MICHAEL HOWARD CLARY DO
Family Medicine
3700 S MAIN ST, SUITE A
BLACKSBURG, VA 24060
Montgomery County (540) 443-7187
DR. JENNIFER HANEY DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111

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 Wildwood Physician Services, LLC's NPI number?

The NPI number for Wildwood Physician Services, LLC is 1629560917. It was assigned to this organization in the NPPES registry on June 1, 2018.

Where is Wildwood Physician Services, LLC located?

Wildwood Physician Services, LLC is located at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (540) 951-1111.

What is Wildwood Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Wildwood Physician Services, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.