Active NPI
Latonya Wilder, M.D.
- Internal Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29996
- Practice address
- 2451 Fillingim St
Mobile, AL 36617-2238 - Phone
- (251) 471-7117
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29996 | AL | Primary |
Addresses
Primary practice location
2451 Fillingim St
Mobile, AL 36617-2238
Mailing address
1905 Pallister PL W
Mobile, AL 36618-2220
Phone (251) 591-3525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Alabama College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29996 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama Health Care Authority | Internal Medicine | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| USA Health Community Providers LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Internal Medicine | Past | Accepting new patients |
| USA Health HCA Providence Hospital LLC | Past | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000
75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787
2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880
Interoperability endpoints
- lwilder@direct.mhg.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
Internal Medicine
-
- Hospitalist Physician
- Mobile, AL
- NPI 1669824934
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1477712990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 PALLISTER PL W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366182220",
"telephone_number": "251-591-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-471-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "LATONYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "29996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.