Wildstein Spine Center, PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

24445 Issued in SC

Legal business name

WILDSTEIN SPINE CENTER, PA

Practice address

418 Folly Rd
Suite C
Charleston, SC 29412-2625

Phone

(843) 406-2771

Fax

(843) 406-2789

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scott Wildstein, M.D.NPI 1821102245

Title

President

Phone

(843) 406-2771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Scott Wildstein, MD

  • Orthopaedic Surgery of the Spine Physician
  • Charleston, SC
  • NPI 1821102245
  Medicare reassignment NPD Authorized official
• Francis Johannes Filpo, M.D.

  • Emergency Medicine Physician
  • Rockville Centre, NY
  • NPI 1154694867
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1609050236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 OCEAN NEIGHBORS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129647",
            "telephone_number": "843-406-2771",
            "fax_number": "843-406-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-406-2771",
            "fax_number": "843-406-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDSTEIN SPINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "WILDSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-406-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "24445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Kaye Wildman, M.D.
• Robert Boyd Wildman
• Chloe Wilds, LPC-A
• Robert H Wilds, OD
• Suzanne Lynn Wilds, D.C.
• Michael Scott Wildstein, MD
• Lindsay C Wiles, PT
• Maria Kathleen Wiley, MD
• Ellen Wilfong-Grush, PH.D.
• Bonnie Wilgus, RPH

• Orthopaedic Surgery of the Spine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Orthopaedic Surgery of the Spine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.