Susan S Wilder, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23132 Issued in AZ

Practice address

8757 E Bell Rd
Scottsdale, AZ 85260-1322

Phone

(480) 860-5500

Fax

(480) 860-5260

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lifescape Medical Associates

  • Exclusive Provider Organization
  • Scottsdale, AZ
  • NPI 1417019787
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1447218698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "480-860-5500",
            "fax_number": "480-860-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "480-860-5500",
            "fax_number": "480-860-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa B Wild, OTR/L
• Daniella C Wilde, FNP-C
• Heather Aura Wilde, NMD
• Kailey Wilde
• Evan Wilder, MD
• Wildflower Primary Care & Wellness, PLLC
• Aaron Wildung, DDS
• Bryce Cameron Mason Wiles, DPT
• Larissa Dohn Wiley, PA-C
• Barbara Wilhite, LMFT

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.