ROBERT BRENT WILDER (NPI# 1083654198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654198 |
| Entity Type | Individual |
| Full Name | ROBERT BRENT WILDER |
| Practice Address |
18697 Bagley Rd Middleburg Heights OH 44130-3417 |
| Mailing Address |
3881 E Smith Rd Medina OH 44256-8771 |
| Practice Telephone | 4408168000 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35042804W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE RR-GA | P00221626 | 01 |
| OH | 0427710 | 05 | |
| OH | CARESOURCE | 942460636082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477622017 | Robert P. Wilder | Physical Medicine & Rehabilitation | 545 Ray C. Hunt Dr, Ste 310, Charlottesville, VA 22903-0001 | 2006-11-07 |
| 1619062577 | Robert Stephen Wilder | Chiropractor | 329 East Jericho Turnpike, Smithtown, NY 11787 | 2006-10-04 |
| 1710999537 | Robert Edward Wilder Jr. | Marriage & Family Therapist | 11924 San Jose Blvd, Jacksonville, FL 32223-1840 | 2006-08-12 |
| 1770135519 | Robert Lee Wilder Jr. | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1386903813 | Robert L Wilder | Dentist | 1420 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2390 | 2012-05-03 |
| 1033196944 | Robert T Wilder | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
18697 BAGLEY RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568124 | Laura Stasiak | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-05-04 |
| 1992326300 | Kyle Gustafson | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2020-04-27 |
| 1295365088 | Hannah Blackburn | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-01-21 |
| 1861038077 | Rebecca Ann Pollack | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2019-11-22 |
| 1609422138 | Kali Potopsky | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-08-12 |
| 1699335588 | James Miner | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-06-13 |
| 1871054080 | Mary Gulla | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-29 |
| 1629537253 | David Brian Haberman | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-13 |
| 1649737487 | Amanda Vitek | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-02-28 |
| 1356815922 | Hni Medical Services of Ohio, LLC | Internal Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352090 | David Sugerman | Emergency Medicine | 7123 Pearl Rd, Suite 201, Middleburg Heights, OH 44130-4975 | 2006-03-29 |
| 1861038077 | Rebecca Ann Pollack | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2019-11-22 |
| 1780116889 | Ramsey Ataya | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2017-03-29 |
| 1326401381 | Michelle Ashley Fallon | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2016-03-29 |
| 1609238047 | Hillary Staebler | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2016-03-24 |
| 1316380504 | George Robert Asaad | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2013-04-08 |
| 1558599290 | Jenny May Arman | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2009-07-01 |
| 1487677290 | Nicole Wadsworth | Emergency Medicine | 7123 Pearl Rd, Middleburg Heights, OH 44130-4975 | 2006-07-25 |
| 1740212471 | Todd Samuel Welsh | Emergency Medicine | 18697 Bagley Rd, Southwest General Health Center - Emergency Department, Middleburg Heights, OH 44130-3417 | 2006-07-06 |
| 1063457224 | Phillip Stout | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2006-06-19 |
| Find all providers in MIDDLEBURG HEIGHTS | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
Please comment or provide details below to improve the information on ROBERT BRENT WILDER.
| 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.