DR. WILLIAM ANTHONY WILD D.O. NPI 1700820396

NPI Information

  • NPI: 1700820396
  • Provider Name: DR. WILLIAM ANTHONY WILD, D.O.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11318 GUM POINT RD
    BERLIN, MD
    ZIP 21811
  • Phone: (443) 397-4167

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NPI Details

DR. William Anthony Wild, D.O. is an emergency medicine in Berlin, MD. 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. William Anthony Wild, D.O. NPI is 1700820396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11318 GUM POINT RD
BERLIN, MD
ZIP 21811-172
Phone: (443) 397-4167

The NPI 1700820396 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/16/2020.

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
1207P00000XEmergency MedicineOS010886LPENNSYLVANIANo
2207P00000XEmergency MedicineC2-0013043DELAWARENo
3207P00000XEmergency MedicineH0066476MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120045168OTHERPENNSYLVANIAAMERIHEALTH MERCY
2101038293002MEDICAIDPENNSYLVANIA
31010389293-03OTHERPENNSYLVANIAAMERICHOICE TORRESDALE
41361074OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
5101038293001MEDICAIDPENNSYLVANIA
61010389293-01OTHERPENNSYLVANIAAMERICHOICE FRANKFORD
707645OTHERPENNSYLVANIAHEALTH PARTNERS
81356562OTHERPENNSYLVANIACIGNA
930017165OTHERPENNSYLVANIAKEYSTONE MERCY
10452729OTHERPENNSYLVANIAAETNA
11101038293003MEDICAIDPENNSYLVANIA
121010389293-02OTHERPENNSYLVANIAAMERICHOICE BUCKS
132053335000OTHERPENNSYLVANIAKEYSTONE IBC

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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