CHARIS WILDER (NPI# 1235648148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235648148 |
| Entity Type | Individual |
| Full Name | CHARIS WILDER |
| Credential | NP |
| Practice Address |
15351 W Bell Rd Surprise AZ 85374-4580 |
| Practice Telephone | 6236877163 |
| Mailing Telephone | 2053179496 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
23213 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP10566 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
23213 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 142896 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 512 Old Hickory Blvd Apt 1511, Nashville, TN 372095196 | 2053179496 |
| Street Address |
15351 W BELL RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-4580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739985 | Angela Johansson | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2005-06-09 |
| 1023675162 | Herlinda C Castro | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2019-05-23 |
| 1619446655 | Destinie N. Sanchez | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2018-11-20 |
| 1225511686 | Jennifer Dimas | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2018-09-12 |
| 1891226585 | Ricki Diamond | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2017-03-23 |
| 1457701054 | Jahnavi Kalidindi | Internal Medicine | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2016-06-15 |
| 1780030742 | Daniel Talamo | Family Medicine | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2016-05-09 |
| 1558716571 | Elizabeth Harper Juanillo | Obstetrics & Gynecology | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2016-04-27 |
| 1801241898 | Elizabeth Whinston | Obstetrics & Gynecology | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2016-04-27 |
| 1194104240 | Jennifer Burgess | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2015-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225511686 | Jennifer Dimas | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2018-09-12 |
| 1750770699 | Shaunte Thomas | Nurse Practitioner | 14961 W Bell Rd, Ste 175, Surprise, AZ 85374-3220 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1235750381 | Gilbert Family Birth Center, LLC | Nurse Practitioner | 246 S Gilbert Rd, Gilbert, AZ 85296-1600 | 2020-04-29 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1861023921 | Courtney Ann Mackinnon | Nurse Practitioner | 5300 S Sutter Dr Ste 11, Show Low, AZ 85901-8055 | 2020-01-28 |
| 1851948699 | Nicole Marie Keeling | Nurse Practitioner | 3818 S. Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2019-08-26 |
| 1144786591 | Modern Milk Gilbert | Nurse Practitioner | 3244 E Guadalupe Rd Ste 106, Gilbert, AZ 85234-9605 | 2019-02-11 |
| 1164988515 | Modern Milk | Nurse Practitioner | 13802 N Scottsdale Rd Ste 162, Scottsdale, AZ 85254-3437 | 2019-02-11 |
| 1538638028 | Mamie Elizabeth Ramchandani | Nurse Practitioner | 5750 E Highway 90 Ste 300, Sierra Vista, AZ 85635-9111 | 2018-11-14 |
| 1326565540 | Megan Nicole Spiekermeier | Nurse Practitioner | 3400 N Dysart Rd # 121, Avondale, AZ 85392-1003 | 2017-08-28 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
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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.