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MARK F WILDMAN PA-C
NPI 1922091560
Physician Assistant in Columbia, MO

Active since August 30, 2005
1 S KEENE ST, COLUMBIA, MO 65201(573) 443-2402(573) 443-0574 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark F Wildman Pa-c NPPES

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

MARK F WILDMAN PA-C (NPI 1922091560) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (105965) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1922091560
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK F WILDMANCredential: PA-C
Location Address1 S KEENE STColumbia, MO 65201-7199
Mailing Address1 S Keene StColumbia, MO 65201-7199 · (573) 443-2402 · Fax (573) 443-0574
Phone(573) 443-2402
Fax(573) 443-0574
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJuly 30, 2008
✔ NPI 1922091560 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 MO · 105965
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.
1 S KEENE ST, Columbia, MO 65201
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Other Identifiers 2

Medicare UPINR22249MO
Medicare ID-Type Unspecified003085013MO

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.

ISAAC DODSON
Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
RANDAL R TRECHA M.D.
Orthopaedic Surgery
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
TRISTON DALE BROWNFIELD R.PH.
Pharmacist
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-8410
DR. CHRISTOPHER D. FARMER M.D.
Family Medicine (Sports Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
COURTNEY LYNN KESSLER PA-C
Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
MS. NICHOLE E ADAMS MED, ATC, LAT, OTC
Specialist/Technologist (Athletic Trainer)
1 S KEENE ST, COLUMBIA ORTHOPEDIC GROUP
COLUMBIA, MO 65201
Boone County (573) 443-2402
DR. ABRAM JOHN ELSENRAAT M.D
Pain Medicine (Interventional Pain Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
ALAINA R DURK FNP
Nurse Practitioner (Family)
1 S KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402

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 Mark Wildman's NPI number?

The NPI number for Mark Wildman is 1922091560. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Mark Wildman located?

Mark Wildman practices at 1 S Keene St, Columbia, MO 65201. The listed phone number is (573) 443-2402.

What is Mark Wildman's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Wildman was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.