Diane Davenport Wilder, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

E-3196 Issued in AR

Practice address

8901 Carti Way
Little Rock, AR 72205-6523

Phone

(501) 219-8777

Fax

(501) 907-6522

NPI assigned

Nov 16, 2005

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Medical OncologyAlso: Internal Medicine

Education

University of Texas Medical School at San Antonio, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Merit-based Incentive Payment System (MIPS)

Final score

89.18 of 100Reported as group

Quality

90.37

Promoting interoperability

100

Improvement activities

40

Cost

73.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwilder@carti.oncoemrdirect.com

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.

• Central Arkansas Radiation Therapy Institute Inc

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1508147810
  Medicare reassignment Care Compare group NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1902472715
  NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Audiologist
  • Little Rock, AR
  • NPI 1932775749
  NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Radiation Oncology Physician
  • Little Rock, AR
  • NPI 1669458907
  NPD (past)
• Little Rock Hematology Oncology

  • Radiation Oncology Physician
  • Little Rock, AR
  • NPI 1205005667
  NPD (past)
• Little Rock Hematology Oncology

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1477535391
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1619959525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-219-8777",
            "fax_number": "501-907-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-219-8777",
            "fax_number": "501-907-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "DIANE",
        "middle_name": "DAVENPORT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-3196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145962001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilder@carti.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8901 Carti Way",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722056523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blair Abigail Wilcox
• Joy Deane Wilcox, APN
• Leslie Ann Wilcox, RNP
• Rebecca A Wilcox, SLP
• Wild Medical
• Georgia Wilder, APRN, NP-C
• Leslie Gayle Wildhagen, APRN-BC
• Mary Anne Wildman, MSPT
• Amber Wiles, CRNA
• Brittnay Elizabeth Wiles, FNP

• Hematology & Oncology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Hematology & Oncology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.