Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922021518 Individual Practitioner Male Practitioner

Dr. Wallace S Wilder , MD

Pediatrics • Kalispell, MT

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Wilder, MD is a registered healthcare professional specializing in Pediatrics in Kalispell, MT. Practice services are available at 210 SUNNYVIEW LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 Sunnyview Ln
Suite 103

Kalispell, MT 599013135

Telephone 4067528300
Fax 4067523542
Associated Practice Facility / Clinic
🏢 James S. Bonnet M.d., P.c. Facility NPI 1699874289

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kalispell, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Kalispell, MT (165 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MT 3655

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0032344 (MT)
Commercial Insurance / Payer ID Blue Cross
08110 (MT)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Heather Riley , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043966120

CPNPPC

Dr. Jenna Upham , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1073092292

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

NPI 1285654020

Doctor of Medicine (M.D.)

Valerie Beebe , APRN, BC

Nurse Practitioner - Family

NPI 1306866157

Advanced Practice Registered Nurse, BC

NPI 1508181454

Doctor of Medicine (M.D.)

NPI 1659474666

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 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 210 SUNNYVIEW LN, SUITE 103, KALISPELL, MT 599013135 (Tel: 4067528300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 210 SUNNYVIEW LN, SUITE 103, KALISPELL, MT 599013135 (Tel: 4067528300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE WILDER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #3655 in MT)

🟢
Initial NPI Registration & Enumeration July 25, 2006

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: 1922021518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

210 Sunnyview Ln, Suite 103

Kalispell, MT 599013135

Phone: 4067528300

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.