Matthew Thomas Wilde, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A188085 Issued in CA

Practice address

101 Bodin Cir
David Grant Medical Center Dept of Anesthesia
Travis AFB, CA 94535-1809

Phone

(707) 423-2355

NPI assigned

Jul 5, 2007

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Anesthesiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain State Anesthesia ProvidersGroup PAC ID 8729349444, 50 clinicians

Northern Colorado Anesthesia Professionals PLLCGroup PAC ID 6800878760, 155 clinicians

Nadora Anesthesia LLCGroup PAC ID 7113383811, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nadora Anesthesia, LLC

  • Anesthesiology Physician
  • Johnstown, CO
  • NPI 1184312431
  Medicare reassignment Care Compare group NPD
• Northern Colorado Anesthesia Professionals PLLC

  • Anesthesiology Physician
  • Fort Collins, CO
  • NPI 1851389613
  Medicare reassignment Care Compare group NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1730692054
  Medicare reassignment Care Compare group NPD
• Sterling Anesthesia Associates LLC

  • Anesthesiology Physician
  • Sterling, CO
  • NPI 1932978897
  Medicare reassignment NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1184257883
  NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Loveland, CO
  • NPI 1710510417
  NPD

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

• Medical Center of the Rockies

  dba Greeley Emergency Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1104262286
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1750392304
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780243055
  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1821296518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "DGMC ANESTHESIA",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "DAVID GRANT MEDICAL CENTER DEPT OF ANESTHESIA",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A188085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Camacho West, PT
• Marquise Westbrook, MD
• Suk Charles Whang, M.D.
• Erika Lynn Wicher, DO
• Claire Christine Widule, MD
• Matthew Scott Willerick, PH.D.
• Adam Charles Willett, PHARM. D.
• Jordan Williams, MD
• Michael Williams, M.D
• Robert L Williams

• Anesthesiology Physician in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.