DR. DAVID CHAMBERLAYNE WILDE JR. (NPI# 1477015246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477015246 |
Entity Type | Individual |
Full Name | DR. DAVID CHAMBERLAYNE WILDE JR. |
Credential | MD |
Practice Address |
1504 Ben Taub Loop Houston TX 77030 |
Mailing Address |
1 Baylor Plz Houston TX 77030-3498 |
Practice Telephone | 7138732000 |
Mailing Telephone | 7137984951 |
Enumeration Date | 2019-04-02 |
Last Update Date | 2019-04-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2002 Holcombe Blvd, Houston, TX 770304211 | 7137911414 | |
6621 Fannin St, Houston, TX 770302358 | 8328241000 | |
6720 Bertner Ave, Houston, TX 770302604 | 8323551000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
1982786463 | David S Wilde | Social Worker | 4 Terry Drive, The Atrium, Suite 17a, Newtown, PA 18940 | 2006-10-20 |
1184253270 | David J Wilde | Student in an Organized Health Care Education/Training Program | 9330 State Road 54, Trinity, FL 34655-1808 | 2020-04-02 |
1225471352 | David Brian Wilde | General Practice | 6701 Democracy Blvd, Room 911, Bethesda, MD 20892-4874 | 2013-04-08 |
1013182658 | David Wilde | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2008-04-24 |
1467581363 | David N Wilde | Counselor | 12166 Old Big Bend Rd, Ste 307, Saint Louis, MO 63122-6844 | 2007-03-05 |
Street Address |
1504 BEN TAUB LOOP |
City | HOUSTON |
State | TX |
Zip Code | 77030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669674230 | Alexander Toledo | Emergency Medicine | 1504 Ben Taub Loop, Department of Emergency Medicine, Ben Taub General Hosp, Houston, TX 77030 | 2007-06-04 |
1164032975 | Jacqueline Mbuagbaw Fosah | Nurse Practitioner | 1504 Ben Taub Loop, Houston, TX 77030 | 2020-08-06 |
1790302636 | Kelsey Frances Podmeyer | Physician Assistant | 1504 Ben Taub Loop, Houston, TX 77030 | 2020-06-26 |
1174150171 | Meesha Khatker | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2020-03-27 |
1932759339 | Maribel Villa | Registered Nurse | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-09-17 |
1740834209 | Nancy Mojica | Registered Nurse | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-08-01 |
1891255089 | Emily Grace Bruner | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-03-22 |
1235694209 | Kaelin Elizabeth Fox | Physician Assistant | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-02-04 |
1467940551 | Uchechukwu Anigbogu | Emergency Medicine | 1504 Ben Taub Loop, Emergency Center, Houston, TX 60304 | 2018-04-25 |
1194222356 | Kim-trang Da Ho | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2018-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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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 |
---|---|---|---|---|
1447865936 | Zhuoxuan Judy Cai | Student in an Organized Health Care Education/Training Program | 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 | 2020-09-10 |
1255946109 | Idris Abdullah Badruddin | Student in an Organized Health Care Education/Training Program | 7911 Lawn Wood Ln, Houston, TX 77086-2325 | 2020-09-08 |
1427669209 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St # 6510, Houston, TX 77054-2032 | 2020-08-13 |
1245840503 | Punit Pala | Student in an Organized Health Care Education/Training Program | 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 | 2020-08-03 |
1932719374 | Atteeba Manzar | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste 1661, Houston, TX 77030-2765 | 2020-07-31 |
1619595204 | Noah Collaco | Student in an Organized Health Care Education/Training Program | 3110 Gannett St, Houston, TX 77025-3826 | 2020-07-09 |
1629696273 | Esraa Elsamny | Student in an Organized Health Care Education/Training Program | 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 | 2020-07-09 |
1194343988 | Melanie Leigh Painter | Student in an Organized Health Care Education/Training Program | 1505 City Nights Way, Houston, TX 77047-3405 | 2020-07-08 |
1467079608 | Emmanuella Adetoro Oduguwa | Student in an Organized Health Care Education/Training Program | 10918 Ranier Dr, Houston, TX 77031-1835 | 2020-07-04 |
1366069288 | Jacob Charles Kinskey | Student in an Organized Health Care Education/Training Program | Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2020-06-26 |
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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.