Jeffrey V Wilde (NPI# 1073703310, PAC ID# 7113084302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073703310 |
| PAC ID by PECOS | 7113084302 |
| Professional Enrollment ID | I20110706000226 |
| Full Name | Jeffrey V Wilde |
| Organization Legal Name | LENZNER MEDICAL SERVICES LLC |
| Address |
286 S Lenzner Ave Sierra Vista AZ 85635-5685 |
| Phone Number | 5204520388 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7517029283 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030043 | CANYON VISTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 | 5204520388 | LENZNER MEDICAL SERVICES LLC |
| Organization Legal Name | LENZNER MEDICAL SERVICES LLC |
| Physicians | 1 |
| Street Address |
286 S LENZNER AVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip | 85635-5685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather D Jones | Physician Assistant | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Lynn M Kling | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Janice L. Fawcett | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Celia R Elias | Family Medicine | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly B Smith | Chiropractic | 2123 S Hwy 92, Sierra Vista, AZ 85635 | |
| Lincoln J Daynes | Optometry | 400 W Fry Blvd, Suite 9, Sierra Vista, AZ 85635-1760 | |
| Matthew Robert Genz | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Louise Nosanchuck | Family Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Everett R Castle | Emergency Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Jason David Steinberg | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| James Garet Goodman | Chiropractic | 222 E Fry Blvd, Sierra Vista, AZ 85635-1817 | |
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Purba Biswas | Internal Medicine | 629 N Hwy 90, Sierra Vista, AZ 85635-2257 | |
| Mohammed A J Sikder | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Find all physicians in zip 85635 | |||
| City | SIERRA VISTA |
| Zip Code | 85635 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SIERRA VISTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey V 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.