ZACHARY WILDER (NPI# 1346738762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346738762 |
| Entity Type | Individual |
| Full Name | ZACHARY WILDER |
| Practice Address |
1340 S Avenue B Canton IL 61520-3410 |
| Practice Telephone | 3092242021 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1340 S AVENUE B |
| City | CANTON |
| State | IL |
| Zip Code | 61520-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144867 | Jacquelyn Rain Kelly | Student in an Organized Health Care Education/Training Program | 325 Hillgrove Dr, Canton, GA 30114-8602 | 2020-08-17 |
| 1528686912 | Emily M Dochterman | Student in an Organized Health Care Education/Training Program | 28720 State Highway 16, Canton, MO 63435-3005 | 2020-07-11 |
| 1225654270 | Yuvraj Bhagat | Student in an Organized Health Care Education/Training Program | 43285 Stonington Ct, Canton, MI 48188-1786 | 2020-06-24 |
| 1568085348 | Janki Patel | Student in an Organized Health Care Education/Training Program | 1196 Canterbury Cir, Canton, MI 48187-3810 | 2020-05-27 |
| 1023630563 | Angad Preet Singh | Student in an Organized Health Care Education/Training Program | 2561 Knollwood Dr, Canton, MI 48188-2271 | 2020-05-06 |
| 1841828118 | Megha Trushar Patel | Student in an Organized Health Care Education/Training Program | 50800 Redding Ct, Canton, MI 48187-4451 | 2020-03-31 |
| 1427618727 | Michelle Mcneil | Student in an Organized Health Care Education/Training Program | 10 Hunter Ln, Canton, MA 02021-1731 | 2019-06-18 |
| 1962067157 | Moleca Mahmoud Ghannam | Student in an Organized Health Care Education/Training Program | 49918 Hancock St, Canton, MI 48188-6660 | 2019-05-03 |
| 1235696477 | Jordan Nameth | Student in an Organized Health Care Education/Training Program | 7444 Byron Ave Ne, Canton, OH 44721-1907 | 2019-02-25 |
| 1205311610 | Erika Marie Roschinsky | Student in an Organized Health Care Education/Training Program | 44757 Patrick Dr, Canton, MI 48187-2547 | 2018-10-02 |
| Find all providers in CANTON | ||||
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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.