Wilderness Medics, Inc.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

750 Issued in MT

Legal business name

WILDERNESS MEDICS, INC.

Practice address

2069 Norman Way
Hamilton, MT 59840

Phone

(800) 294-4214

Fax

(406) 924-1798

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Jack E. Spears

Title

President/Ceo

Phone

(800) 294-4214

Specialties & licenses 3

Addresses

Other names 1

• Corporate Medical Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1316463136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 722",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "800-294-4214",
            "fax_number": "406-924-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 NORMAN WAY",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "800-294-4214",
            "fax_number": "406-924-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERNESS MEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "800-294-4214"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MT",
            "license": "750",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "ID",
            "license": "4018",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WY",
            "license": "187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporate Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessie L Wheeler, DC
• Marshall W. White, MD
• Wholehearted Healing, PLLC
• Thaddeus J Widmer, L.C.S.W
• Michael A Wiencek, CRNA
• Robert M Wilkins, O.D.
• Lauren Wilkinson
• William L. Suda, PH.D., P.C.
• Alicia Michele Williams, PA-C
• Travis Williams, DPT

• Emergency Medical Services (Emergency Medicine) Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.