DR. RICHARD J. WILBUR (NPI# 1770563348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770563348 |
| Entity Type | Individual |
| Full Name | DR. RICHARD J. WILBUR |
| Credential | M.D. |
| Practice Address |
4050 Sheridan Street Ste. D Hollywood FL 33021-3561 |
| Mailing Address |
1117 E Hallandale Beach Blvd Hallandale Beach FL 33009-4488 |
| Practice Telephone | 9549897441 |
| Practice Fax Number | 9549897454 |
| Mailing Telephone | 9544546300 |
| Mailing Fax Number | 9542664006 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0044134 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE NUMBER | ME0044134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174747687 | Richard Alan Wilbur | Dentist | 111 Kale Ct, Saint Robert, MO 65584-3816 | 2007-04-13 |
| 1609090448 | Richard Sloan Wilbur | Internal Medicine | 985 Hawthorne Pl, Lake Forest, IL 60045-2217 | 2007-04-12 |
| Street Address |
4050 SHERIDAN STREET STE. D |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558678896 | Global Medical Enterprises | Internal Medicine | 4050 Sheridan Street, Suite C, Hollywood, FL 33021 | 2010-09-08 |
| 1518164680 | Liliana Marcu Awan, Md, Pa | Clinic/Center | 4050 Sheridan Street, Suite C, Hollywood, FL 33021 | 2007-07-01 |
| 1376657122 | Liliana Marcu Awan | Family Medicine | 4050 Sheridan Street, Suite C, Hollywood, FL 33021 | 2006-08-18 |
| 1083635973 | Michael J. Mckenzie, Md, Pa | Family Medicine | 4050 Sheridan Street, Suite C, Hollywood, FL 33021 | 2006-07-23 |
| 1720042740 | Sailesh M. Dave | Internal Medicine | 4050 Sheridan Street, Ste. D, Hollywood, FL 33021-3561 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1699265363 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 3700 Washington St Ste 203, Hollywood, FL 33021-8249 | 2018-05-17 |
| 1174048433 | Robert Terry Smith | Internal Medicine | 1530 Seagrape Way, Hollywood, FL 33019-4862 | 2017-08-08 |
| 1528425204 | Jody Ritter | Internal Medicine | 3700 Washington St Ste 500a, Hollywood, FL 33021-8256 | 2016-01-26 |
| 1639534787 | Renovo Medical Consulting | Internal Medicine | 4770 Stono Links Dr, Hollywood, SC 29449-5984 | 2015-12-16 |
| 1669849741 | Anay Puntonet | Internal Medicine | 3700 Washington St Ste 305, Hollywood, FL 33021-8249 | 2015-08-25 |
| 1861898843 | Metamorphosis Medispa & Wellness Center | Internal Medicine | 2104 Tyler St, Hollywood, FL 33020-6717 | 2014-11-18 |
| 1053720243 | Foundation for Sickle Cell Disease Research | Internal Medicine | 3858 Sheridan St Ste S, Hollywood, FL 33021-3625 | 2014-08-12 |
| 1487096210 | Murray Neil Cohen | Internal Medicine | 2820 Fairway Dr, Hollywood, FL 33021-2937 | 2013-07-22 |
| 1942555107 | Luis M Gonzalez Sr. | Internal Medicine | 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 | 2012-07-13 |
| Find all providers in HOLLYWOOD | ||||
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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.