MR. MICHAEL WYDILA


Address: 1400 Philadelphia Pike, Suite A6, Wilmington, DE 19809
Phone: 3027988070

MR. MICHAEL WYDILA (NPI# 1760495097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760495097
Entity Type Individual
Full Name MR. MICHAEL WYDILA
Credential MD
Practice Address 1400 Philadelphia Pike
Suite A6
Wilmington
DE 19809
Practice Telephone 3027988070
Practice Fax Number 3027985902
Mailing Telephone 3027988070
Mailing Fax Number 3027985902
Enumeration Date 2006-08-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology C10005759 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KEYSTONE 2625833000 01
DE 1000024676 05
AETNA 4620757 01

Office Location

Street Address 1400 PHILADELPHIA PIKE
SUITE A6
City WILMINGTON
State DE
Zip Code 19809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669923058 Brandywine Bodywork Massage Therapist 1400 Philadelphia Pike, Wilmington, DE 19809-1856 2016-10-20
1013250075 Joseph George Gaglioti Chiropractor 1400 Philadelphia Pike, Suite A4, Wilmington, DE 19809-1856 2013-03-28
1831352525 Mariclaire Schultz Chiropractor 1400 Philadelphia Pike, Wilmington, DE 19809-1856 2008-07-03
1255476883 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1400 Philadelphia Pike, Suite 200, Wilmington, DE 19809-1856 2007-02-21
1922151364 Kevin Elliot Duhadaway Physical Medicine & Rehabilitation 1400 Philadelphia Pike, Wilmington, DE 19809-1856 2007-01-19
1093876716 Michael M Wydila Md Pa Allergy & Immunology 1400 Philadelphia Pike, Suite A 6, Wilmington, DE 19809-1856 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881199693 Raquel Ilanit Huerta Counselor 2100 Haven Rd, Apt C, Wilmington, DE 19809 2018-03-26
1548760960 Phoenix Center for Health and Wellness LLC Clinic/Center 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 2018-02-13
1659882850 Mackenzie Chrisco Physical Therapist 606 Greenfield Pl, Wilmington, DE 19809 2017-10-16
1588173207 Tracy Marie Washington Social Worker 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 2017-09-26
1053766907 Jacqueline Galya Occupational Therapist 510 Duncan Road, Wilmington, DE 19809 2016-04-28
1205290566 Kathleen Welsh Behavioral Analyst 210 Bellefonte, Wilmington, DE 19809 2016-04-12
1861820318 A Better Chance for Our Children, Inc. Clinic/Center 1307 Philadelphia Pike, Wilmington, DE 19809 2013-10-19
1831457415 Faye Catherine Dube Counselor 501 Silverside Road, Suite 50, Wilmington, DE 19809 2012-05-02
1972876977 Iris Drane Counselor 314 Brandywine Blvd., Wilmington, DE 19809 2012-02-22
1821315110 Mary Lauren Lewis Janusz Occupational Therapist 800 Carr Road, Wilmington, DE 19809 2010-04-26
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1518347095 Michelle Marie Clark Allergy & Immunology 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 2015-06-01
1902217565 Anusha Vadlamudi Allergy & Immunology 1017 Ashes Dr Ste 206, Wilmington, NC 28405-8308 2014-05-16
1104913417 Allergy and Asthma Center, Inc Allergy & Immunology 110 Fairway Dr, Suite # 2, Wilmington, OH 45177-8756 2006-10-06
1548353345 Leonard H Seltzer Allergy & Immunology 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 2006-10-02
1861470767 Gregory V. Marcotte Allergy & Immunology 1700 Shallcross Ave, Suite 1, Wilmington, DE 19806-2344 2006-01-03
1831189992 Allergy Partners, Pllc Allergy & Immunology 1017 Ashes Drive, Suite 206, Wilmington, NC 28405-8308 2005-10-28
1538159777 Kenneth William Myers Allergy & Immunology 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352 2005-10-27
1912997156 Donald Miles Macqueen Allergy & Immunology 2321 Delaney Rd, Wilmington, NC 28403-6012 2005-10-27
1912904038 David Peter Wien Allergy & Immunology 708 Greenbank Rd, Wilmington, DE 19808-3168 2005-07-05
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City WILMINGTON
Zip Code 19809

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Dataset Information

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.

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