Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wendell Hayden Wilmoth, MD

Individual provider Diagnostic Radiology Physician · NPI 1245499003

Dr. Wendell Hayden Wilmoth, MD is a Diagnostic Radiology in Kodiak, Alaska. Graduated from University of New Mexico School of Medicine in 2008, 18 years ago. Practices with Garden State Healthcare Associates LLC, a 175-clinician group and works from 3 locations. Licensed in Alaska and Tennessee.

Years since qualifying
18
Trained at
University of New Mexico School of Medicine
Licensed in
AK, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-9581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13813 Metro Pkwy, Fort Myers, FL 33912-4343 — (855) 674-4624
  • 7211 Wellington Dr Ste 101, Knoxville, TN 37919-5968 — (865) 588-8005

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 7852 (AK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 75934 (TN)

Record details

NPI number1245499003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2008
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Garden State Healthcare Associates Llc — 175 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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