DR. KATHRYN S WILDY (NPI# 1265543359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265543359 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN S WILDY |
| Credential | M.D. |
| Practice Address |
2727 S 144th St Ste 240 Omaha NE 68144-5201 |
| Practice Telephone | 4023156200 |
| Practice Fax Number | 4023156210 |
| Mailing Telephone | 4023156200 |
| Mailing Fax Number | 4023156210 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35647 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
22818 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0580225 | 05 | |
| NE | BCBSN | 30703 | 01 |
| IA | 1580225 | 05 | |
| NE | 10025793100 | 05 | |
| NE | 47068731713 | 05 | |
| NE | 47068731720 | 05 |
| Street Address |
2727 S 144TH ST STE 240 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517060 | Deborah Doud | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-20 |
| 1659907475 | William A Roughead Jr. | Physician Assistant | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2020-03-13 |
| 1295107118 | Jessica Anne Lisherness | Physician Assistant | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2015-10-30 |
| 1962899088 | Kelsey A Holkesvik | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2015-04-16 |
| 1679860167 | Kristina Alexis Krajicek | Physician Assistant | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2011-07-05 |
| 1215048657 | Steven J Wees | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417228453 | Abhijeet Shrikrishna Danve | Internal Medicine | 11322 Franklin Plz Apt 915, Omaha, NE 68154-4816 | 2012-01-23 |
| 1710276415 | Melanie Kay Rohr | Internal Medicine | 42 Nd and Emile St, 983025 Unmc, Omaha, NE 68198-0001 | 2011-04-04 |
| 1962517060 | Deborah Doud | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-20 |
| 1962899088 | Kelsey A Holkesvik | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2015-04-16 |
| 1720485865 | Westroads Rheumatology Associates PC | Internal Medicine | 10170 Nicholas St, Omaha, NE 68114-2174 | 2014-12-03 |
| 1407087489 | Nebraska Orthopaedic Hospital LLC | Internal Medicine | 2727 S 144th St, Omaha, NE 68144-5225 | 2009-08-07 |
| 1497903520 | Joseph Anthony Nahas | Internal Medicine | 601 N 30th St, Suite 5700, Omaha, NE 68131-2128 | 2008-09-03 |
| 1073735817 | Nada Skaf | Internal Medicine | 601 N 30th St, Suite 5700, Omaha, NE 68131-2128 | 2007-05-02 |
| 1306994926 | Michelene Hearth-holmes | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-8102 | 2007-01-08 |
| 1699876219 | Carolyn Anne Coyle | Internal Medicine | 10170 Nicholas St, Omaha, NE 68114-2174 | 2006-09-26 |
| Find all providers in OMAHA | ||||
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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.