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

Paul Michael Wilde, PA-C, SCD

Individual provider Medical Physician Assistant · NPI 1558361535

Paul Michael Wilde, PA-C, SCD is a Medical Physician Assistant in Fort Leavenworth, Kansas. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6198
Fax: (913) 684-6128
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1002775 NCCPA (GA)

Record details

NPI number1558361535
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , SCD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESJuly 13, 2026

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