JAMES L WILDER MD PA (NPI# 1821287483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821287483 |
| Entity Type | Organization |
| Organization Name | JAMES L WILDER MD PA |
| Other Organization Name | SOUTH TEXAS GYNECOLOGIC ONCOLOGY |
| Practice Address |
540 Madison Oak Dr Ste #570 San Antonio TX 78258-3943 |
| Practice Telephone | 2104023700 |
| Practice Fax Number | 2104023892 |
| Mailing Telephone | 2104023700 |
| Mailing Fax Number | 2104023892 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | JAMES LOWELL WILDER (OWNER) |
| Authorized Official Telephone | 2104023700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PIN | 0073MQ | 01 |
| Other Name | Type Code |
|---|---|
| South Texas Gynecologic Oncology | Doing Business As Name - Organization |
| Street Address |
540 MADISON OAK DR STE #570 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076096 | Raul Ramos | Colon & Rectal Surgery | 540 Madison Oak Dr, Suite 370, San Antonio, TX 78258-3943 | 2005-07-11 |
| 1730611120 | Leslie Gordon | Counselor | 540 Madison Oak Dr, Suite 340, San Antonio, TX 78258-3943 | 2017-04-03 |
| 1558818047 | Ramiro Barrientos Jr. | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2016-09-01 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1881060127 | Gmit-texas LLC | Chiropractor | 540 Madison Oak Dr, Suite 140, San Antonio, TX 78258-3943 | 2015-08-20 |
| 1548654387 | William A Atlas Md Pa | Internal Medicine | 540 Madison Oak Dr, Suite 550, San Antonio, TX 78258-3943 | 2015-03-18 |
| 1508259961 | Mohammad Yosuf | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2015-03-10 |
| 1285026385 | Barrett Quality Medical Interests | Podiatrist | 540 Madison Oak Dr, Suite 130, San Antonio, TX 78258-3943 | 2015-02-26 |
| 1497150312 | Dr. Moffat D. Adams, Jr. Dpm Pllc | Podiatrist | 540 Madison Oak Dr, Suite 600, San Antonio, TX 78258-3943 | 2014-11-04 |
| 1013316710 | Dawn Denise Marshall | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779299 | Beverly Gail Hutzler | Obstetrics & Gynecology | 4502 Medical Dr # 71-1, San Antonio, TX 78229-4402 | 2020-01-07 |
| 1790123156 | Hatem Hatem | Obstetrics & Gynecology | 7719 S Ih 35 Ste 220, San Antonio, TX 78224-1469 | 2013-06-07 |
| 1184615452 | Edward Robert Kost | Obstetrics & Gynecology | 903 W Martin St, San Antonio, TX 78207-0903 | 2005-11-04 |
| 1073888319 | Jaron Evan Mark | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2012-03-20 |
| 1013055813 | Antonio Santillan-gomez | Obstetrics & Gynecology | 4411 Medical Dr, Ste. 100, San Antonio, TX 78229-3822 | 2007-02-02 |
| 1770664542 | South Texas Oncology and Hematology, Pllc | Obstetrics & Gynecology | 4383 Medical Drive, San Antonio, TX 78229-3307 | 2006-10-18 |
| 1720195795 | John Boldt | Obstetrics & Gynecology | 527 N Leona St, Downtown Clinic, San Antonio, TX 78207-3110 | 2006-08-24 |
| 1881701944 | Kevin Hall | Obstetrics & Gynecology | 7703 Floyd Curl Dr Rm 428f, Uthscsa, Dept. of Ob/gyn, San Antonio, TX 78229-3901 | 2006-08-24 |
| 1841206885 | James E Mark | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2006-07-31 |
| 1861408866 | Fred M Massey | Obstetrics & Gynecology | 7922 Ewing Halsell Dr, Suite #220, San Antonio, TX 78229-3786 | 2006-07-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.