DR. JANNA WILDER (NPI# 1760685804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760685804 |
| Entity Type | Individual |
| Full Name | DR. JANNA WILDER |
| Credential | M.D. |
| Practice Address |
1 Trinity Pl # 80 San Antonio TX 78212-4674 |
| Practice Telephone | 2109998111 |
| Practice Fax Number | 2109998378 |
| Mailing Telephone | 2109998111 |
| Mailing Fax Number | 2109998378 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
F7303 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1 TRINITY PL # 80 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008777 | Nidhi Parikh Kudur | Family Medicine | 10350 Bandera Rd, San Antonio, TX 78250 | 2016-04-22 |
| 1538492558 | Scott Leggoe | Family Medicine | 11212 Highway 151, San Antonio, TX 78251-4498 | 2009-09-09 |
| 1710926035 | Andres Hernandez | Family Medicine | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5907 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676970 | Oscar Samuel Claros | Family Medicine | 11807 South Fwy Ste 360, Burleson, TX 76028-7045 | 2019-06-04 |
| 1548554355 | Chau Nguyen Md, Pa | Family Medicine | 7111 Harwin, Ste. #201, Houston, TX 77036-2131 | 2011-06-09 |
| 1659558195 | Connie Pham, M.d.,p.a. | Family Medicine | 2118 Scenic Dr, Georgetown, TX 78626-7728 | 2008-01-28 |
| 1144426198 | Muhammad M Uddin | Family Medicine | 4351 Dfw Tpke, Ste 150, Dallas, TX 75211-1501 | 2007-06-26 |
| 1487737219 | Oscar Olfindo Enriquez | Family Medicine | 2801 Macarthur Dr Ste E, West Orange, TX 77630-4791 | 2006-10-23 |
| 1326155219 | Angela Yvette Mosley-nunnery | Family Medicine | 22710 Professional Dr., Ste#202, Kingwood, TX 77339 | 2006-08-24 |
| 1770520066 | Neil Stanton Levy | Family Medicine | 12531 Renoir Ln, Dallas, TX 75230-1749 | 2006-06-02 |
| 1003808379 | Everett L Warthan | Family Medicine | 3500 S Ih 35, Belton, TX 76513-9426 | 2005-08-22 |
| 1982606489 | Sarah B Carter | Family Medicine | 7771 E Highway 153, Winters, TX 79567 | 2005-08-15 |
| 1699315879 | Brandi Michelle Cooper | Family Medicine | 100 S Mcgee St, Borger, TX 79007-4041 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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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.