WILD SURGICAL SERVICES LLC (NPI# 1972761138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972761138 |
| Entity Type | Organization |
| Organization Name | WILD SURGICAL SERVICES LLC |
| Practice Address |
321 English Creek Rd Port Republic NJ 08241-9794 |
| Practice Telephone | 6096521276 |
| Practice Fax Number | 6096527498 |
| Mailing Telephone | 6096521276 |
| Mailing Fax Number | 6096527498 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MARY K WILD (OWNER) |
| Authorized Official Telephone | 6093502211 |
| Authorized Official Credential | RN CRNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
321 ENGLISH CREEK RD |
| City | PORT REPUBLIC |
| State | NJ |
| Zip Code | 08241-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780057083 | Caringhouse Projects, Inc | Respite Care | 350 Chestnut Neck Road, Port Republic, NJ 08241 | 2015-11-09 |
| 1427278860 | Patricia Joan Oneill | Clinical Nurse Specialist | 762 Old New York Rd, Port Republic, NJ 08241-9731 | 2007-04-26 |
| 1265772842 | Justine Devries | Registered Nurse | 137 Pomona Ave, Port Republic, NJ 08241-9748 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013491398 | Danielle Rae Behrens | Counselor | 450 Chippingwood Dr, Port Republic, MD 20676-2140 | 2018-09-21 |
| 1184084550 | Julie Paige Crawford | Massage Therapist | 7914 Mill Creek Church Rd, Port Republic, VA 24471-2640 | 2016-02-29 |
| 1780057083 | Caringhouse Projects, Inc | Respite Care | 350 Chestnut Neck Road, Port Republic, NJ 08241 | 2015-11-09 |
| 1003203431 | Ellen Myree Hicks | Specialist/Technologist | 5939 Flank Cir, Port Republic, VA 24471-2231 | 2015-04-23 |
| 1265772842 | Justine Devries | Registered Nurse | 137 Pomona Ave, Port Republic, NJ 08241-9748 | 2013-02-19 |
| 1467755843 | Bonnie Kyger Gibson | Occupational Therapy Assistant | 8042 Port Republic Rd, Port Republic, VA 24471-2652 | 2010-12-07 |
| 1366765935 | Maple Consulting, LLC | Social Worker | 5623 Mills Field Ln, Port Republic, MD 20676-2067 | 2010-03-10 |
| 1063734085 | William J Stockton, M.d. | Clinic/Center | 3405 Howard Dr, Port Republic, MD 20676-2190 | 2010-02-17 |
| 1427278860 | Patricia Joan Oneill | Clinical Nurse Specialist | 762 Old New York Rd, Port Republic, NJ 08241-9731 | 2007-04-26 |
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097032 | Inspira Medical Centers, Inc. | General Acute Care Hospital | 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 | 2019-08-08 |
| 1760989156 | Amerimed Hospital of Mexico LLC | General Acute Care Hospital | 50c Us Highway 9, Morganville, NJ 07751-1526 | 2018-04-11 |
| 1730620428 | Jersey City Medical Center-rwj Barnabas Health | General Acute Care Hospital | 395 Grand Street 3rd Floor, Jersey City, NJ 07302 | 2017-03-14 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| 1760927206 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plaza., Suite 300, Camden, NJ 08103 | 2016-12-19 |
| 1205370921 | Saint Peters University Hospital | General Acute Care Hospital | 30 S Adelaide Ave, Apt Phb, Highland Park, NJ 08904-1606 | 2016-12-14 |
| 1487007589 | Lincoln Medical Center | General Acute Care Hospital | 567 Spruce Ln, Franklin Lakes, NJ 07417-2418 | 2016-07-13 |
| 1770934028 | Edgar Lachica | General Acute Care Hospital | 249 Quaker Church Rd, Randolph, NJ 07869-1415 | 2016-06-28 |
| 1336593649 | Mohammed Nasser Salem | General Acute Care Hospital | 38 Divan Way, Wayne, NJ 07470-5229 | 2016-04-22 |
| 1538521489 | Galenia Hospital of Mexico | General Acute Care Hospital | 50 Route 9 N Bldg B, Morganville, NJ 07751-1574 | 2016-03-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT REPUBLIC |
| Zip Code | 08241 |
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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.