RICHARD ALAN WILDE MD - NPI 1912923830

Q: What is Richard Wilde's NPI number?

The NPI number for Richard Wilde is 1912923830. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Richard Wilde's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Wilde was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Richard Alan Wilde Md NPPES

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

RICHARD ALAN WILDE MD (NPI 1912923830) is an individual pediatrics provider in Lutz, Florida, licensed in Florida (ME82294) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912923830

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameRICHARD ALAN WILDECredential: MD

Location Address1854 OAK GROVE BLVDLutz, FL 33559-8605

Mailing Address4033 Tampa Rd, Ste 101Oldsmar, FL 34677-3224 · (813) 854-2003 · Fax (813) 855-3765

Phone(813) 948-6133

Fax(813) 948-3460

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1912923830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME82294

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1854 OAK GROVE BLVD, Lutz, FL 33559

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Other Identifiers 1

Medicaid262370600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

KENDALL BRODIE NORTHCUTT PA-C

Physician Assistant