Wilma Ivette Santiago, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD461915 Issued in PA

Practice address

1970 N Broad St
Lansdale, PA 19446-1002

Phone

(215) 368-1900

Fax

(215) 368-8772

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wsantiago@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1013110584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 VANDERBURG ROAD",
            "address_2": "APT 4314",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062753",
            "telephone_number": "787-235-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461002",
            "telephone_number": "215-368-1900",
            "fax_number": "215-368-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194461002",
            "country_code": "US",
            "telephone_number": "215-368-1900",
            "fax_number": "215-368-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Street 9 Alturas de Yauco",
            "address_2": "M 45",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "006982753",
            "country_code": "US",
            "telephone_number": "787-267-2857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "WILMA",
        "middle_name": "IVETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD461915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Joel Sailor, DDS
• Sylphena Saji
• Donna Susan Salin, DMD
• Sandra I Salvino, CRNA
• Marcos D Sanchez Jr., M.D.
• Katlyn Santoro
• Sapphire Counseling Services
• Sarah Walker & Associates, LLC
• Madison Rose Sauer
• Matthew Sauer

• General Practice Physician in Lansdale, PA
• Providers in Lansdale, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.