Individual provider Active NPI

Christine Lynn Wildeman, M.D.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1407877038
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME143999 Issued in FL
Practice address
2400 Fruitville Rd
Sarasota, FL 34237-6223
Phone
(847) 593-8460
Fax
(224) 235-4652
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 057705 GA
Integrative Medicine Physician 202D00000X ME143999 FL
Family Medicine Physician 207Q00000X ME143999 FL Primary

Addresses

Primary practice location

2400 Fruitville Rd
Sarasota, FL 34237-6223

Mailing address

2260 Ringling Blvd Unit 305
Sarasota, FL 34237-6157
Phone (941) 402-4321

Other names 1

  • Christine Ogren Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240530000377 TX Practitioner - Family Practice 1153399944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143999FLMDFamily Medicine Physician
057705GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Business LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Cherokee Nation CurrentSince Apr 20, 2024 Accepting new patients
Cherokee Nation CurrentSince Apr 20, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients
Georgia Emergency Associates Past Accepting new patients
Colorado Geriatric Care, PC Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

2830 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 342-6505

808 E Venice Ave
Venice, FL 34285
Phone (941) 412-3800

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1407877038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 RINGLING BLVD UNIT 305",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376157",
            "telephone_number": "941-402-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376223",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEMAN",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "057705",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "FL",
            "license": "ME143999",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "OGREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.