MR. ILAN E WILDE (PAC) – Physician Assistant, NPI 1265489801

MR. ILAN E WILDE (PAC) is a healthcare provider. based in Toppenish, Washington. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. 004580 (GA). The NPI Number for MR. ILAN E WILDE (PAC) is 1265489801

Main info

Male
Name
MR. ILAN E WILDE (PAC)
NPI
1265489801
Phone
(509) 856-2395
Address
PO BOX 190
Enumeration Date
28 May 2006
Last Update Date
6 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. ILAN E WILDE (PAC)

  • PO BOX 190

    TOPPENISH, WA 989480190

    Phone: (509) 856-2395

    Fax: (509) 865-0757

    Type: Mailing

  • 518, West 1st Avenue, Toppenish, Yakima County, Washington, 98948, United States

    TOPPENISH, WA 989481564

    Phone: (509) 865-5600

    Fax: (509) 865-5783

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98948)

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Reviews

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Frequently asked questions

How do payers reference MR. ILAN E WILDE (PAC)?
For MR. ILAN E WILDE (PAC), use NPI 1265489801 as the unique 10-digit identifier.
Is MR. ILAN E WILDE (PAC) shown as active in public data?
Registry records indicate MR. ILAN E WILDE (PAC) maintains an active NPI.
What area of care is associated with MR. ILAN E WILDE (PAC)?
MR. ILAN E WILDE (PAC)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Washington is MR. ILAN E WILDE (PAC) registered?
Use Toppenish, Washington as the headline location for MR. ILAN E WILDE (PAC) here.
When was this NPI issued?
Enumeration for MR. ILAN E WILDE (PAC) is noted as May 28, 2006 where the registry provides it.

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