Holly Jo Wyder, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M8441 Issued in TX

Practice address

8530 FM 78
Converse, TX 78109-1032

Phone

(210) 436-8400

Fax

(833) 452-1052

NPI assigned

Nov 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Texas a & M University System, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Axis Home Health Home health agency, San Antonio, TX, CCN 679774
• Arms of Compassion Hospice Care Hospice, San Antonio, TX, CCN A91620

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.wyder.1@13711.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CFHC No17, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1356003560

  Contracted Managing Employee

  CMS ownership

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.

• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment Care Compare group NPD
• McAllen Hospitalist Group, PLLC

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  NPD
• South Texas Inpatient Consultants, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1942607502
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Axyb Inc.

  • Home Health Agency
  • San Antonio, TX
  • NPI 1497878862
  Care Compare affiliation
• CFHC No17, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1356003560
  Care Compare affiliation

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1093997488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 FM 78",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091032",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 FM 78",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091032",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYDER",
        "first_name": "HOLLY",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.wyder.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "8530 Fm 78",
            "city": "Converse",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781091032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chantel Woodard, PTA
• Ernest Nmi Woods, RN
• Aubrey Renae Woolman, IDMT
• Martin Elive Etta Wose
• Jonathan Robert Wright, PHARMD
• Crystal Young, LCSW
• Laura Yzette Zapata
• Pamela Zinsmeister, LPC

• Internal Medicine Physician in Converse, TX
• Providers in Converse, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.