CHARLES WILDER (NPI# 1124275680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124275680 |
| Entity Type | Individual |
| Full Name | CHARLES WILDER |
| Practice Address |
3205 S Rural Rd Tempe AZ 85282-3853 |
| Practice Telephone | 4808976063 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4057981 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275562118 | Charles Romeo Wilder II | Optometrist | 15401 Harriet St, Romulus, MI 48174-3069 | 2006-07-02 |
| 1538185525 | Charles D Wilder | Anesthesiology | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2006-07-14 |
| 1558398545 | Charles C Wilder | Internal Medicine | 2240 Sutherland Ave, Ste 104, Knoxville, TN 37919-2333 | 2006-06-27 |
| Street Address |
3205 S RURAL RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330261 | Kathy Lieberman | Audiologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2006-10-16 |
| 1255944393 | Victoria Rose Fallon | Speech-Language Pathologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2020-08-28 |
| 1487263380 | Bryan Adams | Speech-Language Pathologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2020-07-27 |
| 1972133304 | Karen Melissa Torres | Specialist/Technologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2020-01-24 |
| 1255813598 | Alexandria Elizabeth Leach | Speech-Language Pathologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2018-09-04 |
| 1972051761 | Veronica Castro | Registered Nurse | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2016-09-21 |
| 1043695737 | Kristen Curtis | Speech-Language Pathologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2015-07-23 |
| 1811378045 | Theophano Lykos Rozan | Specialist/Technologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2015-06-12 |
| 1831516426 | Sherri Jaster | Specialist/Technologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2014-03-21 |
| 1780001214 | Amanda Kubany | Specialist/Technologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2014-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871815423 | Nicole Boeri | Psychologist | 4630 S Lakeshore Dr, Apt 362, Tempe, AZ 85282-7164 | 2010-02-24 |
| 1851625412 | Kristen Lilly | Psychologist | 5319 S Mitchell Dr, Tempe, AZ 85283-1739 | 2009-09-29 |
| 1770767295 | Frances C Morrison | Psychologist | 1822 E Center Ln Unit D, Tempe, AZ 85281-4238 | 2007-12-19 |
| 1801019013 | Kelly Kimbrell | Psychologist | 1331 E Redfield Rd, Tempe, AZ 85283-4133 | 2007-04-10 |
| 1154475622 | Carla Monica Seifert | Psychologist | 4525 S College Ave, Evans School, Tempe, AZ 85282 | 2007-01-22 |
| 1770633869 | Hugo Alberto Tapia | Psychologist | 1250 E Baseline Rd, Tempe, AZ 85283-1404 | 2007-01-11 |
| 1699924191 | Anne Burrows | Psychologist | 1974 E Meadow Dr, Tempe, AZ 85282-2946 | 2008-09-09 |
| 1497903504 | Gabriela Gloria Chavez | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-09-03 |
| 1245487883 | Annie Louise Lattuca | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-08-26 |
| 1386800613 | Holly Anne Wertz | Psychologist | 1730 S Mill Ave, Tempe, AZ 85281-6600 | 2008-08-06 |
| Find all providers in TEMPE | ||||
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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.