James W Wilde, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20177 Issued in WI

Practice address

331 S 3Rd St
La Crescent, MN 55947-1328

Phone

(507) 895-6610

NPI assigned

Jun 10, 2005

Last updated

Jul 12, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gundersen Lutheran Medical Center, Inc.

  dba Emplify Health Hospice

  • Community Based Hospice Care Agency
  • La Crosse, WI
  • NPI 1013943893
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1508860255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S 3RD ST",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471328",
            "telephone_number": "507-895-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "20177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30251700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carisa Dee Tacke
• Theodore J. Pierzina (Counseling Clinic La Crescent)
• Traditions of la Crescent LLC (Traditions of La Crescent)
• Traveling Angel PC
• Duane K Undeland, MD
• Brittany Wirth, LPTA
• Wood Family Chiropractic
• Wood Family Chiropractic PC (Chiropractic First of La Crescent)
• Christopher David Wood, DC
• Megan Wurzel, LPC

• Internal Medicine Physician in La Crescent, MN
• Providers in La Crescent, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.