SARAH J. WILDMAN


Address: 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46256-0020
Phone: 3176215676

SARAH J. WILDMAN (NPI# 1316385834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316385834
Entity Type Individual
Full Name SARAH J. WILDMAN
Other Name SARAH J. CRICHLOW
Credential PA
Practice Address 7120 Clearvista Drive
Suite 2100
Indianapolis
IN 46256-0020
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2805
Practice Telephone 3176215676
Practice Fax Number 3173539338
Enumeration Date 2013-06-06
Last Update Date 2014-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10001549A IN Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN RR MEDICARE PTAN P01214579 01
IN ANTHEM 000000825360 01

Office Location

Street Address 7120 CLEARVISTA DRIVE
SUITE 2100
City INDIANAPOLIS
State IN
Zip Code 46256-0020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629072111 Bassam N Helou Internal Medicine 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46256-0020 2005-06-13
1457616617 Kaylee Erin Henson Genetic Counselor, MS 7120 Clearvista Drive, Suite 5900, Indianapolis, IN 46256-1714 2012-07-12
1780909234 Regan Brooke Esch Internal Medicine 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46256-0020 2010-03-28
1801020219 Allison R Sturtevant Internal Medicine 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46250-2890 2009-05-13
1366603904 Sara Michelle Pierce Obstetrics & Gynecology 7120 Clearvista Drive, Suite 4000, Indianapolis, IN 46256-1774 2008-06-17
1306003348 Usman Ahmad Tahir Internal Medicine 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46256-0020 2008-05-19
1851565428 Mary Mccallister Carver Internal Medicine 7120 Clearvista Drive, Suite 2100, Indianapolis, IN 46256-0020 2008-04-15
1023219649 Community Hospitals of Indiana, Inc Physical Medicine & Rehabilitation 7120 Clearvista Drive, Suite 1500, Indianapolis, IN 46256 2007-05-30
1326156068 Community Hospitals of Indiana Inc Obstetrics & Gynecology 7120 Clearvista Drive, Suite 5900, Indianapolis, IN 46256-1714 2006-08-25
1598785362 Jeffrey A Boester Obstetrics & Gynecology 7120 Clearvista Drive, Suite 3500, Indianapolis, IN 46256-1738 2006-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790316859 Jacob R Weeks Behavior Technician 9769 Crosspointed Blvd, Fishers, IN 46256 2020-01-28
1780236620 Amare Hospice & Palliative Care Family Medicine 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 2019-07-11
1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1447732557 Kathleen O'hara Marriage & Family Therapist 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 2018-09-05
1205313608 Healing Bridges Counseling, LLC Marriage & Family Therapist 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 2018-07-27
1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
1275074239 Jason Dempsey Hearing Instrument Specialist 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 2017-03-10
1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779739 Brock Sokolowski Physician Assistant 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 2020-10-28
1699373357 Dillon Etter Physician Assistant 2848 N Delaware St, Indianapolis, IN 46205-4118 2020-10-15
1962017210 Taylor Lee Bowen Physician Assistant 2760 Woodwind Way, Indianapolis, IN 46268-4233 2020-09-14
1912512476 William Terrell Parmenter Physician Assistant 2230 English Ave, Indianapolis, IN 46201-4017 2020-09-11
1457966376 Angela Shearon Physician Assistant 4325 N College Ave, Indianapolis, IN 46205-1931 2020-09-09
1639797004 John Padraic Allbritton Physician Assistant 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 2020-07-11
1154949907 Jonathon Michael Hirsch Physician Assistant 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 2020-07-08
1437776838 Megan Leanna Reynolds Physician Assistant 3841 Rookwood Ave, Indianapolis, IN 46208-3926 2020-07-01
1669099412 Alisa Elaine Schrump Physician Assistant 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 2020-06-28
1144846148 Melanie M. Herrold Physician Assistant 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 2020-06-25
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Competitor

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City INDIANAPOLIS
Zip Code 46256

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Dataset Information

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.

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