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Wildwood Physician Services, LLC

Emergency Medicine Physician in Blacksburg, VA · enumerated 2018 · authorized official Lisha Falk, Vp of Contracting.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629560917

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Registry record

Entity type Organization (Type 2)
Legal business name Wildwood Physician Services, LLC
Practice address 3700 S Main St, Blacksburg, VA, 24060
Phone (540) 951-1111
Enumeration date Jun 1, 2018
Last updated in NPPES Mar 23, 2022

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Lisha Falk
Title Vp of Contracting
Phone (337) 609-1221

Other identifiers

Identifier Type State Issuer
I097 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-23. Verify at npiregistry.cms.hhs.gov.
Where is Wildwood Physician Services, LLC located?
The practice location on file with NPPES is in Blacksburg, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-23.