Active NPI
Eric L Wilder, MD
- Family Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 333104
- Practice address
- 1401 Jefferson Hwy
New Orleans, LA 70121-2426 - Phone
- (504) 842-4747
- Fax
- (504) 842-3327
- NPI assigned
- May 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2017-00843 | NC | |
| Family Medicine Physician | 207Q00000X | 201679 | NC | |
| Family Medicine Physician | 207Q00000X | 333104 | LA | Primary |
Addresses
Primary practice location
1401 Jefferson Hwy
New Orleans, LA 70121-2426
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
300 Twining St Bldg 760
Montgomery, AL 36112-6027
Phone (334) 953-3368
Other practice location 2
1106 Reynolds St
Monroe, NC 28112-4375
Phone (704) 289-5443
Other practice location 3
655 7th St Bldg 700
Robins AFB, GA 31098-2227
Phone (478) 327-8311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201679 | Other | NC | RTL |
| 2017-00843 | Other | NC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112001674 | LA | Practitioner - Family Practice | 7810277084 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333104 | LA | MD | Family Medicine Physician |
| 2017-00843 | NC | MD | Family Medicine Physician |
| 201679 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747
1514 Jefferson Hwy
New Orleans, LA 70121
Interoperability endpoints
- ewilder768937@direct.ochsner.org
Organizations & group practices 3
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.
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- NPI 1326247172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1386056992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212426",
"telephone_number": "504-842-4747",
"fax_number": "504-842-3327"
}
],
"practiceLocations": [
{
"address_1": "300 Twining St Bldg 760",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361126027",
"country_code": "US",
"telephone_number": "334-953-3368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1106 Reynolds St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281124375",
"country_code": "US",
"telephone_number": "704-289-5443",
"fax_number": "704-283-7655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 7th St Bldg 700",
"address_purpose": "LOCATION",
"city": "Robins AFB",
"state": "GA",
"postal_code": "310982227",
"country_code": "US",
"telephone_number": "478-327-8311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDER",
"first_name": "ERIC",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-30",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2017-00843",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "201679",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "333104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RTL",
"identifier": "201679",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2017-00843",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.