DR. GRAHAM LEONARD WILDE (NPI# 1396812376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396812376 |
| Entity Type | Individual |
| Full Name | DR. GRAHAM LEONARD WILDE |
| Credential | PH.D. |
| Practice Address |
5315b Sunset Blvd Lexington SC 29072-9159 |
| Practice Telephone | 8038089611 |
| Practice Fax Number | 8038086848 |
| Mailing Telephone | 8038089611 |
| Mailing Fax Number | 8038086848 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | AUD000296 | GA | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 249 | SC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SA0007 | 05 | |
| SC | STATE AUDIOLOGY LICENSE | 249 | 01 |
| GA | STATE AUDIOLOGY LICENSE | AUD000296 | 01 |
| Street Address |
5315B SUNSET BLVD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-9159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447451679 | Todd Matthew Gibson | Audiologist | 5315b Sunset Blvd, Lexington, SC 29072-9159 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356521 | Kimberly Meier | Audiologist | 1000 Falcon Wood Way, Lexington, KY 40511-9089 | 2020-11-04 |
| 1285181784 | Peytra Claire Osetinsky | Audiologist | 740 S Limestone Street B317, Lexington, KY 40536-0284 | 2016-09-01 |
| 1437382397 | Margaret Marie Adkins | Audiologist | 740 S Limestone St Ste B317, Lexington, KY 40536-0284 | 2009-08-26 |
| 1528268992 | Jinger Renee Pruden | Audiologist | 350 Henry Clay Blvd, Lexington, KY 40502-1024 | 2007-07-23 |
| 1598984858 | Kathryn Ann Sandusky | Audiologist | 525 Southland Dr, Lexington, KY 40503-1828 | 2007-04-25 |
| 1700922978 | Lou Ann Jones | Audiologist | 333 Waller Ave Ste 300, Lexington, KY 40504-2927 | 2007-01-29 |
| 1750470464 | Carol Y Schroeder | Audiologist | 1205 Sebring Ln, Lexington, KY 40513-1818 | 2006-10-12 |
| 1881787398 | Wanda Joy Martin | Audiologist | 1221 South Broadway, Lexington, KY 40504 | 2006-10-02 |
| 1447278932 | Karen E Kallio | Audiologist | 3080 Harrodsburg Rd, Suite 200, Lexington, KY 40503-2774 | 2006-07-17 |
| 1376597450 | Jennifer B Shinn | Audiologist | 740 S Limestone C300, Lexington, KY 40536-0284 | 2006-05-21 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on DR. GRAHAM LEONARD WILDE.
| 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.