Stephen W Wilde (NPI# 1023002763, PAC ID# 4183649767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1023002763 |
| PAC ID by PECOS | 4183649767 |
| Professional Enrollment ID | I20101027000800 |
| Full Name | Stephen W Wilde |
| Organization Legal Name | NORTHEAST GEORGIA GASTROENTEROLOGY ASSOCIATES, PC. |
| Address |
700 Sunset Dr Athens GA 30606-2288 |
| Phone Number | 7062080065103 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4385669969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 Sunset Dr, Athens, GA 30606-2288 | 7062080065103 | NORTHEAST GEORGIA GASTROENTEROLOGY ASSOCIATES, PC. |
| 700 Sunset Dr, Suite 501, Athens, GA 30606-2288 | 7062080065103 | NORTHEAST GEORGIA GASTROENTEROLOGY ASSOCIATES, PC. |
| Organization Legal Name | NORTHEAST GEORGIA GASTROENTEROLOGY ASSOCIATES, PC. |
| Physicians | 1 |
| Street Address |
700 SUNSET DR |
| City | ATHENS |
| State | GA |
| Zip | 30606-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Austin | Nurse Practitioner | Fast Pace Mississippi Pllc | 700 Sunset Dr, Grenada, MS 38901-4091 |
| William W Orr Jr. | Psychiatry | 700 Sunset Dr, Suite 201, Athens, GA 30606-7722 | |
| James R Flanigan | Clinical Social Worker | 700 Sunset Dr, Suite 202, Athens, GA 30606-7722 | |
| Ann M Evans | Nurse Practitioner | Athens Area Surgical Associates, P.C. | 700 Sunset Dr, Suite 503, Athens, GA 30606-2288 |
| Matthew Stephen Farmer | Internal Medicine | G. Steven Chesser Md PC | 700 Sunset Dr, Bldg 500a Ste502, Athens, GA 30606-2293 |
| John R Simpson | Otolaryngology | 700 Sunset Dr, Suite 103, Athens, GA 30606-2287 | |
| Jacquelyne D Brown | Nurse Practitioner | Fast Pace Mississippi Pllc | 700 Sunset Dr, Grenada, MS 38901-4091 |
| Peter Frandsen Vandyck | Endocrinology | 700 Sunset Dr, Suite 601, Athens, GA 30606-7720 | |
| Glynn S Chesser | Internal Medicine | G. Steven Chesser Md PC | 700 Sunset Dr, Bldg 500a Ste502, Athens, GA 30606-2293 |
| Scott Snyder | Psychiatry | 700 Sunset Dr, Suite 202, Athens, GA 30606-7722 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | ATHENS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Stephen W 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.