STEPHANIE ABIMBOLA OLAWAIYE WILDERNESS


Address: 1200 E Ridge Rd # 3, Mcallen, TX 78503-1527
Phone: 9566885922

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA12712 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 E RIDGE RD # 3
City MCALLEN
State TX
Zip Code 78503-1527

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MCALLEN
Zip Code 78503

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Dataset Information

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.

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