Active NPI
Victoria Chlarson Wilding, MD
- Anesthesiology Physician
- Boise, ID
National Provider Identifier
1982835385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M-12470
- Practice address
- 1055 N Curtis Road
South Tower, 6 West
Boise, ID 83706 - Phone
- (208) 367-4343
- Fax
- (208) 367-7667
- NPI assigned
- Aug 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M-12470 | ID | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M-12470 | ID |
Addresses
Primary practice location
1055 N Curtis Road
South Tower, 6 West
Boise, ID 83706
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1982835385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-4343",
"fax_number": "208-367-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS ROAD",
"address_2": "SOUTH TOWER, 6 WEST",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-367-4343",
"fax_number": "208-367-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDING",
"first_name": "VICTORIA",
"middle_name": "CHLARSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M-12470",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "ID",
"license": "M-12470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.