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

Mr. Ilan E Wilde, PAC

Individual provider Physician Assistant · NPI 1265489801

Mr. Ilan E Wilde, PAC is a Physician Assistant in Toppenish, Washington. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

518 W 1st Ave
Toppenish, WA 98948-1564
Phone: (509) 865-5600
Fax: (509) 865-5783
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004580 (GA)

Record details

NPI number1265489801
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESAugust 6, 2014
Mailing addressPo Box 190, Toppenish, WA 98948-0190

Other providers in Toppenish