Corin Q Wilde (NPI# 1285616375, PAC ID# 0042286791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1285616375 |
| PAC ID by PECOS | 0042286791 |
| Professional Enrollment ID | I20100505000571 |
| Full Name | Corin Q Wilde |
| Address |
407 E Centennial Dr Pittsburg KS 66762-6505 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| Address | Phone | Organization |
|---|---|---|
| 3011 N Michigan St, Pittsburg, KS 66762-2546 | 6202319873 | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| 407 E Centennial Dr, Pittsburg, KS 66762-6505 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 97% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
407 E CENTENNIAL DR |
| City | PITTSBURG |
| State | KS |
| Zip | 66762-6505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Jay Justin Middleton | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Find all physicians in zip 66762 | |||
| City | PITTSBURG |
| Zip Code | 66762 |
| Specialty | PODIATRY |
| City + Specialty | PITTSBURG + PODIATRY |
Please comment or provide details below to improve the information on Corin Q Wilde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.