Michael T Wildes (NPI# 1396163929, PAC ID# 7618271487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1396163929 |
| PAC ID by PECOS | 7618271487 |
| Professional Enrollment ID | I20180720000574 |
| Full Name | Michael T Wildes |
| Organization Legal Name | CORNEAL CONSULTANTS OF COLO P C |
| Address |
8381 Southpark Ln Littleton CO 80120-4508 |
| Phone Number | 3037300404 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2014 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1153210380 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060024 | UNIVERSITY OF COLORADO HOSPITAL AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 8381 Southpark Ln, Littleton, CO 80120-4508 | 3037300404 | CORNEAL CONSULTANTS OF COLO P C |
| Organization Legal Name | CORNEAL CONSULTANTS OF COLO P C |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert I Fish | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Karen T Repine | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Ashley Elizabeth Sturdy | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Carolyn Jane Smith | Optometry | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Bradley Gustave | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Stephan Forstot | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Street Address |
8381 SOUTHPARK LN |
| City | LITTLETON |
| State | CO |
| Zip | 80120-4508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Royce A Fishell | Certified Registered Nurse Anesthetist (crna) | Crna Associates Inc | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Robert I Fish | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Karen T Repine | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Barbara Deale Lewis | Certified Registered Nurse Anesthetist (crna) | Crna Associates Inc | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Donald Paul Heon | Certified Registered Nurse Anesthetist (crna) | Crna Associates Inc | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Ashley Elizabeth Sturdy | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Carolyn Jane Smith | Optometry | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Bradley Gustave | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Stephan Forstot | Ophthalmology | Corneal Consultants of Colo P C | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Christopher G Griffith | Certified Registered Nurse Anesthetist | Crna Associates Inc. | 8381 Southpark Ln, Littleton, CO 80120-4508 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Joy Meli Reumann | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Robert A Arne | Chiropractic | 1480 W Canal Court, Littleton, CO 80120 | |
| Jeannie E Walter | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Armando S Reyes | Nurse Practitioner | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Vincent A Scudella | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Brent C Hall | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Resul Kaan Ozbayrak | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Larry K Mortazavi | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Natalie M Hogan | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Mackenzie Ruth Flaharty | Clinical Social Worker | Arapahoe Mental Health Center Inc | 5554 S Prince St, Littleton, CO 80120-1101 |
| Find all physicians in zip 80120 | |||
| City | LITTLETON |
| Zip Code | 80120 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LITTLETON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Michael T Wildes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.