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Active NPI 1922091560 Individual Practitioner Male Practitioner

Mark F Wildman , PA-C

Physician Assistant • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Mark Wildman, PA-C is a registered healthcare professional specializing in Physician Assistant in Columbia, MO. Practice services are available at 1 S KEENE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 S Keene St

Columbia, MO 652017199

Telephone 5734432402
Fax 5734430574
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
175 Specialists

Practicing in Columbia, MO (1802 Statewide)

Telehealth Adoption Rate
8.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 105965

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Isaac Dodson

Physician Assistant

NPI 1013624337
Dr. Randal Trecha , MD

Orthopaedic Surgery

NPI 1013900695

Doctor of Medicine (M.D.)

Dr. Christopher Farmer , MD

Family Medicine - Sports Medicine

NPI 1013951250

Doctor of Medicine (M.D.)

Courtney Kessler , PA-C

Physician Assistant

NPI 1033079231

Physician Assistant (Certified)

Nichole Adams , MED, ATC, LAT, OTC

Specialist/Technologist - Athletic Trainer

NPI 1043289259

Master of Education, Certified Athletic Trainer, Licensed Athletic Trainer, OTC

Dr. Abram Elsenraat , MD

Pain Medicine - Interventional Pain Medicine

NPI 1043357452

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2008

Registered at 1 S KEENE ST, COLUMBIA, MO 652017199 (Tel: 5734432402)

📍
Updated Business Mailing Address July 30, 2008

Registered at 1 S KEENE ST, COLUMBIA, MO 652017199 (Tel: 5734432402)

👤
Provider Name / Credentials Updated July 30, 2008

Recorded as MARK WILDMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2008

Physician Assistant (License #105965 in MO)

🟢
Initial NPI Registration & Enumeration August 30, 2005

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: 1922091560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: July 30, 2008
Sole Proprietor: No

Mailing Address

1 S Keene St

Columbia, MO 652017199

Phone: 5734432402

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.