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

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