DR. CAROLYN A WILD


Address: 1624 South I Street, Suite 102, Tacoma, WA 98405-5093
Phone: 2533833366

DR. CAROLYN A WILD (NPI# 1871581041) 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) 1871581041
Entity Type Individual
Full Name DR. CAROLYN A WILD
Credential MD
Practice Address 1624 South I Street
Suite 102
Tacoma
WA 98405-5093
Mailing Address 1624 South I Street
Suite 305
Tacoma
WA 98405-5093
Practice Telephone 2533833366
Practice Fax Number 2533833376
Mailing Telephone 2534288700
Mailing Fax Number 2533833376
Enumeration Date 2005-10-11
Last Update Date 2012-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
MD60112482 WA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
60112482 WA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A069796 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1624 SOUTH I STREET
SUITE 102
City TACOMA
State WA
Zip Code 98405-5093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265610752 Jorge M Chaves Internal Medicine 1624 South I Street, Suite 102, Tacoma, WA 98405-5093 2008-02-06
1053401117 Debra S Morris Nurse Practitioner 1624 South I Street, Suite 102, Tacoma, WA 98405-5093 2006-10-12
1538257860 Peter K Marsh Internal Medicine 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-10-11
1205924412 David W Mceniry Internal Medicine 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-10-11
1730278623 Ramona V Popa Internal Medicine 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-10-11
1760570873 Lawrence E Schwartz Internal Medicine 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-10-11
1851489827 Elizabeth A Lien Internal Medicine 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-10-11
1740382670 Olympia A Tachopoulou Specialist 1624 South I Street, Suite 405, Tacoma, WA 98405-5094 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851577522 Ndegwa M. Njuguna Internal Medicine 1624 S I St Ste 102, Tacoma, WA 98405-5029 2008-01-12
1528054228 Daniel J Moore Internal Medicine 1003 S 5th St # 3l, Tacoma, WA 98405-4210 2005-09-27
1326456070 Northwest Medical Specialties, Pllc Internal Medicine 1624 S I St, Suite 305, Tacoma, WA 98405-5016 2014-07-25
1407291230 Nehal Masood Internal Medicine 1003 S 5th St, 4th Floor, Tacoma, WA 98405-4210 2013-05-07
1427286244 Nestor Ricardo Ramos Internal Medicine 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431-5002 2009-07-01
1265610752 Jorge M Chaves Internal Medicine 1624 South I Street, Suite 102, Tacoma, WA 98405-5093 2008-02-06
1275692261 Jasmine T Daniels Internal Medicine 1003 S 5th St, 3l, Tacoma, WA 98405-4210 2006-12-06
1417046236 Francis M Senecal Internal Medicine 1624 S I St, Suite 305, Tacoma, WA 98405-5016 2006-10-12
1568553097 Lavanya Sundararajan Internal Medicine 1003 S 5th St, Tacoma, WA 98405-4210 2006-09-28
1457366320 David E Mccune Internal Medicine 9040 Fitzsimmons Dr, Attn: Mchj-mho, Tacoma, WA 98431-1000 2006-07-29
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98405

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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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