| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Samuel W. Wyld · Samuel William Wyld · WYLD SAMUEL WILLIAM | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Samuel | [sources] | |||
| ID Number | 00023375 · MA059106 | [sources] | |||
| Last name | Wyld | [sources] | |||
| Middle name | W. | [sources] | |||
| NPI | 1558882779 | [sources] | |||
| Sector | Physician Assistant | [sources] | |||
| Title | PA-C · Physician Assistant | [sources] | |||
| Position | PA-C | [sources] | |||
| Address | (NY), (NY) | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medny-423f651cd6c3eccc1feef8cefee04c85575838b3 · us-medde-ef905f6beee13005253d11b9cb0a6793c9bcae26 · us-medpa-5227b47fc3401b67779d7bec131287a3abb37970For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (NY), (NY) · NY, NY | United States | |
| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | Pennsylvania Department of Human Services | - | - |