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DR. RICHARD JACOB WILTSE M.D. NPI 1265669352


NPI Information

NPI: 1265669352
Provider Name: DR. RICHARD JACOB WILTSE, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: ACS PRIMARY CARE PHYSICIANS SOUTHWEST PA

PECOS Registration: Yes

Address:
2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVI
JACKSONVILLE, FL
ZIP 32212
Phone: (619) 532-8038
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DR. Richard Jacob Wiltse, M.D. is an emergency medicine in Jacksonville, FL with 15 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Richard Jacob Wiltse, M.D. NPI is 1265669352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVI
JACKSONVILLE, FL
ZIP 32212-140
Phone: (619) 532-8038

The NPI 1265669352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 4/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207P00000XEmergency MedicineQ9092TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.