RICHARD BARRY WILDER M.D. NPI 1801948112

NPI Information

NPI: 1801948112
Provider Name: RICHARD BARRY WILDER, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612
Phone: (813) 745-1075
Get Directions

Richard Barry Wilder, M.D. is a radiation oncology radiology in Tampa, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Richard Barry Wilder, M.D. NPI is 1801948112. 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:

12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612-416
Phone: (813) 745-1075
Fax: (813) 745-7231

The NPI 1801948112 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 1/17/2007 and was last updated on 6/10/2014.

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
1	2085R0001X	Radiology	Radiation Oncology	ME105988	FLORIDA	Yes

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
1	G40141	MEDICARE UPIN
2	5780708	OTHER	CALIFORNIA	AETNA PIN
3	00G709070	MEDICAID	CALIFORNIA
4	P00796215	OTHER	CALIFORNIA	RAILROAD MEDICARE
5	CJ395Z	MEDICARE PIN	CALIFORNIA

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

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