ANDREW J WILDER (NPI# 1275607509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275607509 |
| Entity Type | Individual |
| Full Name | ANDREW J WILDER |
| Credential | MD |
| Practice Address |
401 N 9th St Bismarck ND 58501-4530 |
| Practice Telephone | 7015306000 |
| Practice Fax Number | 7015306407 |
| Mailing Telephone | 7015306000 |
| Mailing Fax Number | 7015306407 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
8224 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
26674 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1459441 | 05 | |
| NE | NE STATE LICENSE | 26674 | 01 |
| Street Address |
401 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124934 | Stewart A. Sharp | Specialist | 401 N 9th St, Bismarck, ND 58501-4506 | 2005-09-19 |
| 1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
| 1447897897 | 701 Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-12-04 |
| 1962059915 | Brightside Surgical, LLC | Surgery | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-08-23 |
| 1629541172 | Evolve Dermatology | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-01-08 |
| 1770029613 | Heritage Pharmacy East Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2017-01-17 |
| 1497205876 | Sommer Fields | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-10-10 |
| 1902257454 | Jenny Schmidt | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-06-27 |
| 1659776805 | Laura Frances Roemmich | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-10-30 |
| 1568877827 | Eric J Lutzwick | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826340 | Edward F Fogarty | Radiology | 800 Munich Dr, Bismarck, ND 58504-7050 | 2006-07-20 |
| 1962769059 | Luke B Roller | Radiology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2012-04-13 |
| 1982983201 | Andrew J Miller | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2011-08-04 |
| 1801110101 | Nicholas Coren Bradbury | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-03-16 |
| 1669634184 | Ryan Hegge | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-26 |
| 1144480971 | Christina Marie Tello-skjerseth | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-16 |
| 1508032103 | Bruce Allen Gardner | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-05-02 |
| 1679746218 | Daniel David Tarver | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2008-04-03 |
| 1346448925 | John Arthur Miller | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2007-07-05 |
| 1902966856 | Paul B Jahn | Radiology | 310 N 10th Street, Bismarck, ND 58501-4516 | 2006-12-11 |
| Find all providers in BISMARCK | ||||
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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.