Christopher Robert Wild, M.D.

Orthopaedic Surgery Physician · Tusla, OK

Individual Active NPI

NPI number 1356696595

Practice location

4802 S. 109TH E. Ave
Tusla, OK 74146

Phone: (918) 392-1513
Fax: (918) 392-1590

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NPI record

NPI: 1356696595
Entity type: Individual (Type 1)
Enumeration date: July 13, 2012
Last updated: March 30, 2023
Certified: March 30, 2023
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Orthopaedic Surgery Physician Primary	`207X00000X`	37775	OK
Orthopaedic Surgery Physician	`207X00000X`	35.131283	OH

Other practice locations (1)

30 E Apple St Ste 2200, Dayton, OH 45409-2939 · (937) 208-2127

About Dr. Wild

Christopher Robert Wild, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 4802 S. 109TH E. Ave, Tusla, OK 74146. The NPI number 1356696595 was assigned on July 13, 2012 and the record was last updated on March 30, 2023.

Dr. Wild lists 2 licenses in the registry: #37775 (OK) for Orthopaedic Surgery Physician; #35.131283 (OH) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Christopher Robert Wild, M.D.?

The NPI number is 1356696595.

What is the phone number of Dr. Wild?

The phone number listed for the practice location is (918) 392-1513.

Where is Dr. Wild located?

4802 S. 109TH E. Ave, Tusla, OK 74146.

What is the taxonomy code for Dr. Wild?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.