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TRAVIS JORDAN WILDER M.D. NPI 1386958726


NPI Information

NPI: 1386958726
Provider Name: TRAVIS JORDAN WILDER, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11100 EUCLID AVE # MS 6011
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-5795
Get Directions

Travis Jordan Wilder, M.D. is a thoracic surgery cardiothoracic vascular surgery in Cleveland, OH with 14 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Travis Jordan Wilder, M.D. NPI is 1386958726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

11100 EUCLID AVE # MS 6011
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-5795

The NPI 1386958726 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 7/27/2010 and was last updated on 1/4/2022.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)S2539TEXASNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)102742483-1205UTAHNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)35.142443OHIOYes

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: 4/28/2024

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.