DR. AARON TYLER WILD (NPI# 1124397328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124397328 |
| Entity Type | Individual |
| Full Name | DR. AARON TYLER WILD |
| Credential | MD |
| Practice Address |
200 Queens Rd Ste 400 Charlotte NC 28204-3264 |
| Practice Telephone | 7043337376 |
| Mailing Telephone | 7043337376 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
247736 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
200 QUEENS RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558603605 | Noelle L Williams | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204 | 2013-03-26 |
| 1043570948 | Matthew Christopher Ward | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-05-24 |
| 1871868026 | Christopher David Corso | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568400109 | Southeast Radiation Oncology Group, P.a. | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3252 | 2006-06-04 |
| 1558603605 | Noelle L Williams | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204 | 2013-03-26 |
| 1922346923 | Carolina Fasola | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2013-01-25 |
| 1043570948 | Matthew Christopher Ward | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-05-24 |
| 1871868026 | Christopher David Corso | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-03-20 |
| 1518265420 | Benjamin James Moeller | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2011-03-02 |
| 1871751420 | Roshan Sudhir Prabhu | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2008-05-30 |
| 1306045752 | John Henry Heinzerling II | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2007-07-16 |
| 1922219013 | Shelileah Ramsey Newman | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2007-05-24 |
| 1982640173 | Derek R Mchaffie | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2006-06-22 |
| Find all providers in CHARLOTTE | ||||
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| 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.