JEFFREY WILDE MD PLLC – NPI #1518515683
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JEFFREY WILDE MD PLLC is a provider located in SIERRA VISTA, AZ. NPPES has assigned the NPI number 1518515683 to JEFFREY WILDE MD PLLC on August 30, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Mar 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY WILDE MD PLLC below.

NPI Profile for
JEFFREY WILDE MD PLLC

NPI Number
1518515683
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFREY WILDE MD PLLC
Primary location
302 EL CAMINO REAL BLDG 11
SIERRA VISTA, AZ 85635-2860
Phone: (520) 255-5475 Fax: (855) 801-7998
1 Other location(s):
2585 E Wilcox Dr Ste A
Sierra Vista, AZ 85635-2822
Phone: (520) 255-5475
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY WILDE
PHYSICIAN/OWNER
Phone: (520) 255-5475
Updated
Certification Date
Mar 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFREY WILDE MD PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ552797
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.