Craig Wilder, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD34904 Issued in DC

Practice address

2510 Moores Plains Blvd
Upper Marlboro, MD 20774-8027

Phone

(202) 865-1121

Fax

(202) 865-4492

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• California Physicians Medical Group, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1669405890
  NPD (past)
• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597

  Emergency Medicine

  NPD (past)
• Jose Aguilar M.D. a, Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174620603
  NPD (past)
• Jose Aguilar M.D. a, Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1760490924
  NPD (past)
• Max Franklin Lebow, a Medical Corporation

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1043255813
  NPD (past)
• Rito C Hill, a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1689699472
  NPD (past)
• San Cristobal Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1770533655
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1487745683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013027",
            "telephone_number": "202-865-3415",
            "fax_number": "202-865-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MOORES PLAINS BLVD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748027",
            "telephone_number": "202-865-1121",
            "fax_number": "202-865-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD34904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010119561",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406528000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dine White, LCPC
• Nicole C White
• Ramona White, NP
• Courtney Whitehead
• Wholeness Lifestyle Services, LLC
• Ayla Wilhite
• Aretha Wychelle Wilkerson
• Antoinette Wilkes-Wooten, REGISTERED NURSE
• William'S Restoration of Hope
• William'S Restoration of Hope

• Emergency Medicine Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.