Carol Wilder MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

10509 Issued in HI

Legal business name

CAROL WILDER MD INC

Practice address

45 Mohouli St
Hilo, HI 96720-4145

Phone

(808) 845-0728

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carol Wilder, MD

Title

President

Phone

(808) 345-6976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1417195488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11148",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967216148",
            "telephone_number": "808-345-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204145",
            "telephone_number": "808-845-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL WILDER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-345-6976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "10509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Velasco Cariaga, B.A
• Carlos R. Abeyta MD, LLC
• Serafima Carlson
• Marne J Carmichael Walsh, M.S.,PA-C
• Kristina Kananilehua Carmichael
• Rick A Carpenter, D.O.
• Denise Lynn Carreira
• Kelcie Carreira
• Tiari Carreira
• Alexander Carter-Kaeha

• Medical Specialty Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Medical Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.