W Mitchell Wilder, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD018998 Issued in LA

Practice address

503 McMillan Rd
Radiology Department
West Monroe, LA 71291-5327

Phone

(318) 388-2646

Fax

(318) 388-2843

NPI assigned

Jun 8, 2006

Last updated

Jun 16, 2016By 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

Enrolled in LA

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

Diagnostic RadiologyAlso: Interventional Radiology

Education

Louisiana State University School of Medicine in Shreveport, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians

Allen Parish Hospital District No 3Group PAC ID 3274431341, 47 clinicians

CLHG-Oakdale LLCGroup PAC ID 1355623943, 37 clinicians

Desoto Hospital AssociationGroup PAC ID 2163321829, 35 clinicians

Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Allegiance Hospital of Many, LLCGroup PAC ID 3274607551, 40 clinicians

Richland Parish Hospital Service District No 1-BGroup PAC ID 2163481599, 41 clinicians

Gastrointestinal Specialists AMCGroup PAC ID 0547245086, 32 clinicians

Morehouse General HospitalGroup PAC ID 4284528274, 34 clinicians

East Carroll Parish HospitalGroup PAC ID 1153216619, 36 clinicians

CLHG-Acadian LLCGroup PAC ID 0840521209, 31 clinicians

Hospital Service District No 1a of the Parish of Richland State of laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Caldwell Memorial Hospital, Inc.Group PAC ID 9638063944, 26 clinicians

CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians

Hospital Service District No 1 Parish of Avoyelles State of laGroup PAC ID 3375440910, 27 clinicians

Concordia Parish Hospital Service District Number OneGroup PAC ID 4587559935, shared by 5 NPIs, 28 clinicians

West Carroll Health Systems, LLCGroup PAC ID 5294627774, shared by 8 NPIs, 21 clinicians

Savoy Medical Management Group, IncGroup PAC ID 1557403953, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadian Medical Center Hospital, Eunice, LA, CCN 190318
• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
• Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167
• Richardson Medical Center Hospital, Rayville, LA, CCN 190151
• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 71)

Locations (25 of 48)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

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.

• Allegiance Hospital of Many, LLC

  dba Sabine Medical Center

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Medicare reassignment Care Compare group NPD
• Allen Parish Hospital District No 3

  dba Allen Parish Hospital

  • Psychiatric Hospital Unit
  • Kinder, LA
  • NPI 1982601944
  Medicare reassignment Care Compare group NPD
• Caldwell Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Columbia, LA
  • NPI 1023283793
  Medicare reassignment Care Compare group NPD
• CLHG-Acadian LLC

  dba Acadian Medical Center

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• CLHG-Oakdale LLC

  dba Oberlin Express Care

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment Care Compare group NPD
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Desoto Hospital Association

  • General Acute Care Hospital
  • Mansfield, LA
  • NPI 1467455154
  Medicare reassignment Care Compare group NPD
• East Carroll Parish Hospital

  • General Acute Care Hospital
  • Lake Providence, LA
  • NPI 1982695441
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment Care Compare group NPD
• Gastrointestinal Specialists, a.M.C.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1932171725
  Medicare reassignment Care Compare group NPD
• Hawkeye Medical, LLC

  • Hospitalist Physician
  • Marksville, LA
  • NPI 1952630360
  Medicare reassignment Care Compare group NPD
• Hospital Service District No 1 Parish of Avoyelles State of Louisiana

  • Critical Access Hospital
  • Bunkie, LA
  • NPI 1316157845
  Medicare reassignment Care Compare group NPD

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

• CLHG-Acadian, LLC

  dba Acadian Medical Center

  • General Acute Care Hospital
  • Eunice, LA
  • NPI 1396394961
  Care Compare affiliation
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • General Acute Care Hospital
  • Ville Platte, LA
  • NPI 1407947336
  Care Compare affiliation
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Rapides Healthcare System, L.L.C.

  dba Rapides Regional Medical Center

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1477500015
  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care-Pineville

  • Multi-Specialty Clinic/Center
  • Pineville, LA
  • NPI 1083031413

  Hospital

  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168

  Hospital

  Care Compare affiliation
• Richland Parish Hospital Service District No 1-B

  dba Richardson Medical Center

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1730120312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941339",
            "telephone_number": "318-388-2646",
            "fax_number": "318-388-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-388-2646",
            "fax_number": "318-388-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "W",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD018998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1915785",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Whitman, LPC-S, LMFT
• Who Needs a Ride,LLC
• Wiegand Enterprises Inc. (Frieden Chiropractic)
• Bobbi A Wiegand, DC
• Terra Wilcher
• Wiley's Pharmacy & Compounding Services Inc (Masons' Pharmacy)
• Wiley's Pharmacy and Compounding Service, Inc. (Mason's Pharmacy)
• Wileys Pharmacy & Compounding Service Inc (Mason's Clinic Pharmacy)
• Wileys Pharmacy and Compounding Service Inc (Masons Pharmacy)
• Rachel Nicole Wilkerson

• Diagnostic Radiology Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.