CAROL WILDER MD INC (NPI# 1417195488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417195488 |
| Entity Type | Organization |
| Organization Name | CAROL WILDER MD INC |
| Practice Address |
45 Mohouli St Hilo HI 96720-4145 |
| Mailing Address |
Po Box 11148 Hilo HI 96721-6148 |
| Practice Telephone | 8088450728 |
| Mailing Telephone | 8083456976 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | DR. CAROL WILDER (PRESIDENT) |
| Authorized Official Telephone | 8083456976 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
10509 | HI | Ambulatory Health Care Facilities |
| Street Address |
45 MOHOULI ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858295 | Stephen A Warsh | General Practice | 45 Mohouli St, Hilo, HI 96720-4145 | 2006-04-03 |
| 1720603715 | Kevin Masao Iwasaki | Social Worker | 45 Mohouli St, Hilo, HI 96720-7210 | 2020-06-15 |
| 1265968275 | Andrea Nicole Warsh | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2017-05-11 |
| 1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
| 1992256515 | Allyson Wong | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2016-10-19 |
| 1336594704 | Kapaakea Charles Puaa | Student in an Organized Health Care Education/Training Program | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720 | 2016-05-04 |
| 1285982876 | Leilani Kerr | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720 | 2012-08-29 |
| 1225385347 | Hilo Urgent Care, LLC | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2012-08-08 |
| 1235491986 | Gutteling Enterprises | Orthopaedic Surgery | 45 Mohouli St, Suite 102, Hilo, HI 96720-7210 | 2012-06-08 |
| 1891920567 | Jacqueline Gardner | Physician Assistant | 45 Mohouli St, Hilo, HI 96720-7210 | 2009-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366710915 | Hilo Obstetrics and Gynecology, LLC | Clinic/Center | 670 Ponahawai St Ste 115, Hilo, HI 96720-7831 | 2011-12-11 |
| 1245616416 | Primary Care Associates, LLC | Clinic/Center | 346 Waianuenue Ave, Hilo, HI 96720 | 2015-08-10 |
| 1255683785 | Big Island Pain Center, LLC | Clinic/Center | 32 Ululani St, Hilo, HI 96720-2933 | 2012-10-08 |
| 1023342169 | Robert D Irvine, Md, Inc | Clinic/Center | 670 Ponahawai St, Ste 115, Hilo, HI 96720-2660 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786744 | Sharon Ohara, M.d., A Professional Corporation | Clinic/Center | 500 University Ave Apt 2005, Honolulu, HI 96826-4941 | 2020-07-03 |
| 1871910745 | Ralph A. Dupree, Md, LLC | Clinic/Center | 243 Keo Keo Road, Eleele, HI 96705 | 2014-03-27 |
| 1083035844 | Dennis H. Wachi Md LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 505, Honolulu, HI 96814-4403 | 2013-12-20 |
| 1386088953 | Yoshio Oda,m.d.inc. | Clinic/Center | 1150 S King St # R00m504, Honolulu, HI 96814-1922 | 2013-04-25 |
| 1861730756 | Rosalo Molina Paeste Md Inc | Clinic/Center | 2256 N School St, Honolulu, HI 96819-2538 | 2013-01-28 |
| 1891099495 | American Hyperbaric Centers, Inc. | Clinic/Center | 851 Fort Street Mall Ste 100, Honolulu, HI 96813-4300 | 2010-12-22 |
| 1437451457 | R. Charles Ray, Md, LLC | Clinic/Center | 65-1227a Opelo Rd, Suite104, Kamuela, HI 96743-7315 | 2010-11-23 |
| 1386944437 | Maria Caridad Ilar-revilla Community Health Clinic LLC | Clinic/Center | 94-866 Moloalo St Ste 1b, Waipahu, HI 96797-3354 | 2010-10-22 |
| 1588843502 | Kailua Dermatology Centers of Hawaii, LLC | Clinic/Center | 1051 Keolu Dr Ste 107, Kailua, HI 96734-3800 | 2007-10-25 |
| 1437348489 | Mother's Hands, Inc | Clinic/Center | 3681 Baldwin Ave # H101, Makawao, HI 96768-9546 | 2007-10-16 |
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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.