DR. RALF G WILDNER (NPI# 1093774986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774986 |
| Entity Type | Individual |
| Full Name | DR. RALF G WILDNER |
| Credential | MD |
| Practice Address |
500 School St Clarks Summit PA 18411-1508 |
| Mailing Address |
100 Nikelle Ln South Abington Township PA 18411-2866 |
| Practice Telephone | 5705863587 |
| Practice Fax Number | 5705860337 |
| Mailing Telephone | 5705862624 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD060289L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101359647 | 05 |
| Street Address |
500 SCHOOL ST |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098331 | Danielle Kathryn Alder | Occupational Therapist | 500 School St, Clarks Summit, PA 18411-1508 | 2012-10-15 |
| 1710155643 | Salazar Associates | Psychologist | 500 School St, Clarks Summit, PA 18411-1508 | 2008-02-13 |
| 1487830402 | Daniel Bruining | Clinical Neuropsychologist | 500 School St, Clarks Summit, PA 18411-1508 | 2008-01-22 |
| 1962550087 | Tara B. Gwyn | Speech-Language Pathologist | 500 School St, Clarks Summit, PA 18411-1508 | 2007-01-08 |
| 1265517544 | Geraldine Dawson | Social Worker | 500 School St, Clarks Summit, PA 18411-1508 | 2006-10-26 |
| 1992880256 | Ruby Moye Salazar | Social Worker | 500 School St, Clarks Summit, PA 18411-1508 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1780696591 | Dilwyn Symes | Psychiatry & Neurology | 302 Stone Ave, Clarks Summit, PA 18411-1561 | 2006-08-12 |
| 1760529416 | Thomas Meyer | Psychiatry & Neurology | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-01-31 |
| 1396826970 | Eun S Yoo | Psychiatry & Neurology | 1451 Hillside Dr, Newton Hall, Clarks Summit, PA 18411-9504 | 2006-10-18 |
| 1245339373 | Francisco L Garcia Jr. | Psychiatry & Neurology | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235663 | Doreen Thomas-payne | Psychiatry & Neurology | 422 Pheasant Ln, Lafayette Hill, PA 19444-1204 | 2020-11-03 |
| 1558961698 | Bierkortte Psychiatric Pllc | Psychiatry & Neurology | 1001 E Elfinwild Rd, Allison Park, PA 15101-3912 | 2020-10-28 |
| 1265031603 | Center for Integrative Psychiatry and Neuromodulation, Plc | Psychiatry & Neurology | 822 Montgomery Ave Ste 208, Narberth, PA 19072-1946 | 2020-10-17 |
| 1518576602 | Kathleen A Lyon, Md PC | Psychiatry & Neurology | 201 Water St Ste 1, Milford, PA 18337-1247 | 2020-07-24 |
| 1588272595 | Ade & Mo LLC | Psychiatry & Neurology | 589 Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9744 | 2020-07-15 |
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1205452760 | Xaler LLC | Psychiatry & Neurology | 4379 Easton Ave # 110, Bethlehem, PA 18020-1483 | 2020-06-22 |
| 1366067464 | Hgmd LLC | Psychiatry & Neurology | 3216 Hemlock Farms, Hawley, PA 18428-9113 | 2020-06-15 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.