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: July 19, 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
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

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.

General Acute Care Hospital
3700 S MAIN ST
BLACKSBURG, VA 24060
Physician Assistant
3700 S MAIN ST
BLACKSBURG, VA 24060
Physician Assistant
3700 S MAIN ST
BLACKSBURG, VA 24060
Emergency Medicine (Emergency Medical Services)
3700 S MAIN ST
BLACKSBURG, VA 24060
Emergency Medicine (Emergency Medical Services)
3700 S MAIN ST
BLACKSBURG, VA 24060
Nurse Anesthetist, Certified Registered
3700 S MAIN ST
BLACKSBURG, VA 24060
Nurse Anesthetist, Certified Registered
3700 S MAIN ST
BLACKSBURG, VA 24060
Specialist
3700 S MAIN ST
BLACKSBURG, VA 24060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629560917, enumerated as an "organization" on June 01, 2018.

The provider is located at 3700 S MAIN ST BLACKSBURG, VA 24060 and the phone number is (540) 951-1111.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.