DR. THOMAS OLIVER WILDES (NPI# 1154393791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393791 |
| Entity Type | Individual |
| Full Name | DR. THOMAS OLIVER WILDES |
| Credential | M.D. |
| Practice Address |
962 Parkland Dr Chippewa Falls WI 54729-5084 |
| Practice Telephone | 6083453677 |
| Mailing Telephone | 6083453677 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
26197-020 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578668620 | Thomas W Wildes | Physician Assistant | 110 Southern Oaks Dr, Plant City, FL 33563-1446 | 2006-09-13 |
| Street Address |
962 PARKLAND DR |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518179928 | John D. Wolski | Otolaryngology | 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 | 2007-05-06 |
| 1194100511 | Midwest Surgical Professionals LLC | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2015-07-27 |
| 1255582078 | Martin E. Samuel, Dds,md,sc | Otolaryngology | 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 | 2008-10-10 |
| 1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
| 1619157161 | Michael Healy Mcdonald | Otolaryngology | 6408 Copps Ave, Monona, WI 53716-3702 | 2007-11-13 |
| 1275725913 | Jessica Ann Weddle | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-08-16 |
| 1346450558 | Ayman D Yaish | Otolaryngology | 130 Warren St, Suite 130, Beaver Dam, WI 53916 | 2007-05-23 |
| 1962617845 | Edward Lawrence Smith | Otolaryngology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2007-05-13 |
| 1629294145 | Michael James Mcavoy | Otolaryngology | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-04-17 |
| 1336364546 | James L Rossiter | Otolaryngology | 10610 N Port Washington Road, Mequon, WI 53092 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
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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.