Thomas W Wilder (NPI# 1518924653, PAC ID# 4688602410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1518924653 |
| PAC ID by PECOS | 4688602410 |
| Professional Enrollment ID | I20061207000388 |
| Full Name | Thomas W Wilder |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Address |
3500 S 4th St Leavenworth KS 66048-5043 |
| Phone Number | 9136806000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1052553906 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170146 | PROVIDENCE MEDICAL CENTER |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 170009 | SAINT JOHN HOSPITAL |
| 170014 | RANSOM MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8909 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135964200 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135963930 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 3500 S 4th St, Leavenworth, KS 66048-5043 | 9136806000 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 7255 Renner Rd, Shawnee, KS 66217-3043 | 9133346800 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia B Cooper | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 4801 College Blvd, Leawood, KS 66211-1628 |
| Christina M Coulson | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 15604 Pinehurst Dr, Suite 2, Basehor, KS 66007-8234 |
| Donald J Mcsweyn | Cardiovascular Disease (cardiology) | Prime Healthcare Physician Services Providence Inc | 3550 S 4th St, 200 Pmg Primary Care Leavenworth Lansing, Leavenworth, KS 66048-5009 |
| Samuel Y Ho | Hospitalist | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Margaret A Killam | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Thad A Stephens | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Terry A Simmons | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| James Appelbaum | Neurology | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Michael M Parra | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| John N Vani | Orthopedic Surgery | Prime Healthcare Physician Services Providence Inc | 8919 Parallel Pkwy, Suite 555, Kansas City, KS 66112-3628 |
| Street Address |
3500 S 4TH ST |
| City | LEAVENWORTH |
| State | KS |
| Zip | 66048-5043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Y Ho | Hospitalist | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Amy P Oberhelman | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Prashanth S Katrapati | Cardiovascular Disease (cardiology) | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Curtis T Selser | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Jastin Varkey | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Bradley Mcilnay | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Rodney K Woerther | Anesthesiology | Northstar Anesthesia of Kansas LLC | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Nathan Samuel Johnson | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Nicholas S Aberle Ii | Orthopedic Surgery | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Jason E Himmel | Diagnostic Radiology | United Imaging Consultants LLC | 3500 S 4th St, St John Hospital, Leavenworth, KS 66048-5043 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Kay Kamp | Qualified Speech Language Pathologist | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Miranda Mularoni | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Lori Welter | Occupational Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Alison Fratzke | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Katie Hewitt | Speech Language Pathologist | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Bethany Young | Occupational Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| E Cooper | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Valerie Annette Bellario | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Ariana Nieder | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Lydia Muttai | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Find all physicians in zip 66048 | |||
| City | LEAVENWORTH |
| Zip Code | 66048 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LEAVENWORTH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Thomas W Wilder.
| 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.