MELYSSA DIANE WILDE NPI 1376162784

NPI Information

  • NPI: 1376162784
  • Provider Name: MELYSSA DIANE WILDE
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 609 W GERMANTOWN PIKE STE 220
    EAST NORRITON, PA
    ZIP 19403
  • Phone: (484) 622-7940

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NPI Details

Melyssa Diane Wilde is an obstetrics gynecology in East Norriton, PA with 6 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Melyssa Diane Wilde NPI is 1376162784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

609 W GERMANTOWN PIKE STE 220
EAST NORRITON, PA
ZIP 19403-261
Phone: (484) 622-7940

The NPI 1376162784 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 4/15/2020 and was last updated on 4/9/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramTL.0008180COLORADONo
2207V00000XObstetrics & GynecologyMD484622PENNSYLVANIAYes

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: 11/21/2025

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