Erin A Wildt, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9107208 Issued in FL

Practice address

1325 Belcher Rd Ste a
Palm Harbor, FL 34683-6739

Phone

(727) 547-4700

Fax

(727) 394-8661

NPI assigned

Oct 16, 2006

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexander Medical Group LLCGroup PAC ID 0547299836, 25 clinicians

Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Ohi West Medical Group II LLC

  • General Practice Physician
  • Zephyrhills, FL
  • NPI 1982381299
  Medicare reassignment Care Compare group NPD
• Alexander Medical Group LLC

  dba Alexander Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Largo, FL
  • NPI 1265453286
  Medicare reassignment Care Compare group
• Ohi West Medical Group II LLC

  dba Florida Medical Clinic Orlando Health

  • Durable Medical Equipment & Medical Supplies
  • Wesley Chapel, FL
  • NPI 1427814847
  NPD
• K Wade Foster MD PA

  dba Florida Dermatology & Skin Cancer Centers

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  NPD (past)
• Ohi West Medical Group II LLC

  dba Florida Medical Clinic Orlando Health Sleep Lab

  • Physiological Laboratory
  • Zephyrhills, FL
  • NPI 1679344394
  NPD (past)

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

• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1134219470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 66TH ST STE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733430",
            "telephone_number": "275-474-7007",
            "fax_number": "727-394-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BELCHER RD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836739",
            "telephone_number": "727-547-4700",
            "fax_number": "727-394-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDT",
        "first_name": "ERIN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1142",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9107208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00371588",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Enterprises
• Sheri Marie Whitson
• Meagan Amber Widner
• Alexandrea Widoff, COTA/L
• Randy Bryan Wiemer, PT
• Nancy E Williams-Wallace, M.D.
• Caleb Shalom Williams
• Claudia Williams
• Darlene Williams, PHD
• George F Williams, D.P.M.

• Medical Physician Assistant in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.