DR. MARK J WILD (NPI# 1679578207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679578207 |
| Entity Type | Individual |
| Full Name | DR. MARK J WILD |
| Credential | M.D. |
| Practice Address |
2 North Ave Ste 101 Bel Air MD 21014-2303 |
| Mailing Address |
615 W Macphail Rd Ste 106 Bel Air MD 21014-4393 |
| Practice Telephone | 4108386434 |
| Practice Fax Number | 4108384250 |
| Mailing Telephone | 4106388900 |
| Mailing Fax Number | 4106388915 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D35522 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 778171700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891759916 | Mark David Wild | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2006-04-14 |
| Street Address |
2 NORTH AVE STE 101 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164976312 | Katherine Stevens | Nurse Practitioner | 2 North Ave, #101, Bel Air, MD 21014-2303 | 2016-08-04 |
| 1598069650 | Dennis Kurgansky, Md, Pa | Clinic/Center | 2 North Ave, Suite 100, Bel Air, MD 21014-2303 | 2011-01-04 |
| 1558337949 | Gene Daffern | Specialist | 2 North Ave, Suite 102, Bel Air, MD 21014-2303 | 2006-02-24 |
| 1831171099 | Dennis Kurgansky | Dermatology | 2 North Ave, Suite 100, Bel Air, MD 21014-2303 | 2005-11-15 |
| 1265438436 | Robert L Smith | Internal Medicine | 2 North Ave, Suite 101, Bel Air, MD 21014-2303 | 2005-06-22 |
| 1225033806 | Vijay Abhyankar | Internal Medicine | 2 North Ave, Ste 101, Bel Air, MD 21014-2303 | 2005-06-20 |
| 1417952953 | Craig S Zylka | Registered Nurse | 2 North Ave, Ste 101, Bel Air, MD 21014-2303 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1053666107 | Sudarshan Paudel | Internal Medicine | 520 Upper Chesapeake Dr Ste 201, Bel Air, MD 21014 | 2012-07-16 |
| 1912150541 | Andrew Nowakowski, M.d., P.a. | Internal Medicine | 35 Fulford Ave, Suite #203, Bel Air, MD 21014-3938 | 2008-10-28 |
| 1790932630 | Mark Vikas Mishra | Internal Medicine | 500 Upper Chesapeake Drive Radiation Oncology, Upper Chesapeake Medical Center, Bel Air, MD 21014-4324 | 2008-08-21 |
| 1730356718 | Carol L. Bowman, M.d., LLC | Internal Medicine | 1318 E Churchville Road, Bel Air, MD 21014-4707 | 2008-05-09 |
| 1962620658 | Anusha Sirithara | Internal Medicine | 260 Gateway Dr Ste 2122b, Bel Air, MD 21014-4268 | 2007-04-20 |
| 1306992433 | George Samuel Isckarus | Internal Medicine | 2227 Old Emmorton Road Suite 220, Bel Air, MD 21015 | 2007-01-25 |
| 1912078338 | Joseph Angelo, Md LLC | Internal Medicine | 208 Plumtree Road, Suite D, Bel Air, MD 21015 | 2006-11-10 |
| 1578584405 | Sinnarajah Raguraj | Internal Medicine | 208 Plumtree Rd, Suite C, Bel Air, MD 21015-6056 | 2006-07-23 |
| 1952366056 | Sriram H. Balasubramanian | Internal Medicine | 2021b Emmorton Road, Suite 210, Bel Air, MD 21015 | 2006-04-20 |
| 1104890797 | Frank Sparandero | Internal Medicine | 1032 Barrymore Dr, Bel Air, MD 21014-6915 | 2006-02-13 |
| Find all providers in BEL AIR | ||||
Please comment or provide details below to improve the information on DR. MARK J WILD.
| 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.