ALAN P K WILD


Address: 3660 Vista Ave, Ste. 312, Saint Louis, MO 63110
Phone: 3149775110

ALAN P K WILD (NPI# 1871582692) 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) 1871582692
Entity Type Individual
Full Name ALAN P K WILD
Credential MD
Practice Address 3660 Vista Ave
Ste. 312
Saint Louis
MO 63110
Mailing Address 3635 Vista Ave
P.o. Box 15250
Saint Louis
MO 63110-2539
Practice Telephone 3149775110
Practice Fax Number 3149775119
Mailing Telephone 3145778884
Mailing Fax Number 3142685111
Enumeration Date 2005-10-14
Last Update Date 2009-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology R9D17 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE 040004991 01

Other Providers ALAN WILD

NPI Name Taxonomy Address Enumeration
1508941071 Alan Dunbar Wild Chiropractor 1423 3rd Avenue, Huntington, WV 25701 2006-10-25

Office Location

Street Address 3660 VISTA AVE
STE. 312
City SAINT LOUIS
State MO
Zip Code 63110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922627207 Emily Bayliss Worrall Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-16
1508485988 Jackson Jeffrey Meland Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1316566748 Katherine Elizabeth Oberhelman Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1063031664 Elizabeth Jane De Quetteville Robin Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1053930586 Tim Brotherton Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1285253328 Eugene Chiemeka Nwankwo Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-09
1124647318 Christian Hendrix Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-08
1851920730 Kellen J Smutz Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
1487283172 Abhinav Reddy Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
1528697448 Andrew Jacob Polk Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538510961 Haley Nicole Bray Otolaryngology 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 2016-06-27
1659790525 Andrew Bluher Otolaryngology 1 Childrens Pl Fl 3, Saint Louis, MO 63110-1002 2014-04-08
1639518673 Jonathan Yoon Otolaryngology 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 2013-06-24
1235492372 Nedim Durakovic Otolaryngology 4921 Parkview Pl Ste A, Saint Louis, MO 63110-1032 2012-06-22
1588994321 Bushra Ajaz Otolaryngology 3860 S Lindbergh Blvd Ste 108, Saint Louis, MO 63127-1373 2009-12-29
1124059647 Jay Francis Piccirillo Otolaryngology 1040 N Mason Rd Ste 123, Ste 123, Saint Louis, MO 63141-6361 2006-07-05
1417927153 Jason Thomas Rich Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2006-01-25
1770571721 Scott H Hardeman Otolaryngology 9701 Landmark Parkway Dr, Suite 201, Saint Louis, MO 63127-1665 2005-10-12
1568088359 Stephanie Jo Youssef Otolaryngology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2020-06-18
1245856020 Sabina Dang Otolaryngology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2020-06-17
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

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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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