Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164683967 Individual Practitioner Female Practitioner

Dr. Kathlyn Valleau Wilde , MD

Pediatrics • Lewiston, ME

Professional Overview & Biography Verified Profile Summary

Dr. Kathlyn Wilde, MD is a registered healthcare professional specializing in Pediatrics in Lewiston, ME. Practice services are available at 33 MOLLISON WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33 Mollison Way

Lewiston, ME 042405805

Telephone 2077845784
Fax 2077839268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lewiston, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Lewiston, ME (319 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ME MD25564

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101261046

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

8901 Wisconsin Ave

Bethesda, MD 208890001

Phone: 4344098249

620 John Paul Jones Cir Dept Of

Portsmouth, VA 237082111

Phone: 7579537716

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Benjamin Stein , MD

Internal Medicine - Gastroenterology

NPI 1245402460

Doctor of Medicine (M.D.)

NPI 1275790180

Doctor of Osteopathic Medicine (D.O.)

Arielle Rancourt

Nurse Practitioner - Family

NPI 1346970951
Karen Palmer , PA-C

Physician Assistant

NPI 1376987743

Physician Assistant (Certified)

Dr. Oswaldo Bisbal , MD

Internal Medicine - Gastroenterology

NPI 1487686242

Doctor of Medicine (M.D.)

Dr. Catherine Mccrann , MD

Internal Medicine - Gastroenterology

NPI 1528167137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location February 05, 2024

Registered at 33 MOLLISON WAY, LEWISTON, ME 042405805 (Tel: 2077845784)

📍
Updated Business Mailing Address February 05, 2024

Registered at 33 MOLLISON WAY, LEWISTON, ME 042405805 (Tel: 2077845784)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Pediatrics (License #0101261046 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

Registered at 620 JOHN PAUL JONES CIR DEPT OF, PORTSMOUTH, VA 237082111 (Tel: 7579537716)

📍
Updated Business Mailing Address August 15, 2017

Registered at 620 JOHN PAUL JONES CIR DEPT OF PEDIATRICS, PORTSMOUTH, VA 237082111 (Tel: (301) 337-5055)

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as KATHLYN WILDE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Pediatrics (License #0101261046 in VA)

NPI Profile Active June 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2008

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890001 (Tel: 4344098249)

📍
Updated Business Mailing Address June 24, 2008

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890001 (Tel: 4344098249)

👤
Provider Name / Credentials Updated June 24, 2008

Recorded as KATHLYN WILDE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2008

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164683967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2008
Last Update: February 05, 2024
Sole Proprietor: No

Mailing Address

33 Mollison Way

Lewiston, ME 042405805

Phone: 2077845784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.