William Wilder, Apmc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

11220 Issued in KY

Legal business name

WILLIAM WILDER, APMC

Practice address

12 Professional Dr
Houma, LA 70360-4046

Phone

(985) 868-1810

Fax

(985) 876-3670

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina T Levron

Title

Clinic Adminstrator

Phone

(985) 868-1810

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis R Duke, MD

  • Dermatology Physician
  • Houma, LA
  • NPI 1396936654
  NPD
• Philip Mark Neal, MD

  • Dermatology Physician
  • Houma, LA
  • NPI 1508058892
  NPD
• Fernando E Palomeque, MD

  • Dermatology Physician
  • Houma, LA
  • NPI 1417910464
  NPD (past)
• Holland J Pitre, MD

  • Dermatology Physician
  • Vicksburg, MS
  • NPI 1467418152
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1093032237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604046",
            "telephone_number": "985-868-1810",
            "fax_number": "985-876-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604046",
            "telephone_number": "985-868-1810",
            "fax_number": "985-876-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WILDER, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "LEVRON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC ADMINSTRATOR",
        "authorized_official_telephone_number": "985-868-1810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "11220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129241",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Wilder, MD
• Brandy L Wiley
• Senchal D Wilkins
• Marcy Willett
• William H. St. Martin, M.D. a Professional Corpo
• Ann M Williams
• Cheatara Williams
• Derrasia H Williams, LMSW
• Elesha Williams, MSW
• Grasso Williams

• Medical Specialty Clinic/Center in Houma, LA
• Providers in Houma, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.