STEPHANIE ABIMBOLA OLAWAIYE WILDERNESS (NPI# 1871054833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871054833 |
Entity Type | Individual |
Full Name | STEPHANIE ABIMBOLA OLAWAIYE WILDERNESS |
Credential | PA-C |
Practice Address |
1200 E Ridge Rd # 3 Mcallen TX 78503-1527 |
Mailing Address |
1500 Hummingbird Ct Apt 4 Pharr TX 78577-0229 |
Practice Telephone | 9566885922 |
Mailing Telephone | 8325121467 |
Enumeration Date | 2019-03-30 |
Last Update Date | 2019-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA12712 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1200 E RIDGE RD # 3 |
City | MCALLEN |
State | TX |
Zip Code | 78503-1527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
1588209720 | Yadira A. Lowery | Nurse Practitioner | 301 W Espressway 83, Mcallen, TX 78503 | 2019-11-12 |
1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
1629557707 | Maritza Venegas | Specialist/Technologist | 2904 S Jackson Rd, Mcallen, TX 78503 | 2018-08-09 |
1659868958 | Ronald Regala Cortez | Nurse Practitioner | 110 E. Savannah Ave., Bldg B Ste 203, Mcallen, TX 78503 | 2018-04-23 |
1679074983 | Mcallen Family Dentistry Pllc | Dentist | 4229 W Expressway 83, Ste 10, Mcallen, TX 78503 | 2018-02-22 |
1528573169 | Librado Omar Cavazos | Nurse Practitioner | 110 E Savannah Ave # 203, Mcallen, TX 78503 | 2017-12-05 |
Find all providers in zip 78503 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619598489 | Monica Aisha Mendiola | Physician Assistant | 7412 N 19th St, Mcallen, TX 78504-5608 | 2020-05-02 |
1184287674 | Amanda Chavez | Physician Assistant | 1125 Jay Ave, Mcallen, TX 78504-3206 | 2019-04-19 |
1164989778 | Giselle E. Wheelock | Physician Assistant | 7512 N Cynthia St, Mcallen, TX 78504-1601 | 2019-03-01 |
1629576632 | Oak Creek Emergency Medicine Associates, Pa | Physician Assistant | 3700 West Nolana Avenue, Mcallen, TX 78504-7850 | 2018-01-24 |
1205344561 | Anara Frank | Physician Assistant | 110 East Savannah, Suite #a204, Mcallen, TX 78504 | 2018-01-19 |
1558898049 | Daniel Ortiz Aguilera | Physician Assistant | 5300 N Mccoll Rd, Mcallen, TX 78504-3696 | 2017-05-16 |
1275068116 | Alejandro Adame | Physician Assistant | 300 E Hackberry Ave, Mcallen, TX 78501-9200 | 2017-04-28 |
1417489287 | Erika L. Gomez | Physician Assistant | 110 E Savannah Ave # 204, Mcallen, TX 78503-1241 | 2017-03-31 |
1396103909 | Juliann Garza | Physician Assistant | 2429 Yale Ave, Mcallen, TX 78504-2172 | 2016-02-10 |
1992162242 | Ken Carlson Walls | Physician Assistant | 2036 S 5th St, Apt 12, Mcallen, TX 78503-2938 | 2016-01-18 |
Find all providers in MCALLEN |
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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.