OrganizationActive
Wild Medical
NPI 1205062437 · Durable Medical Equipment & Medical Supplies · Little Rock, AR
Provider details
- NPI number
- 1205062437
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Stephen Wild, C.e.o.(501) 613-4724
- License
- MG00958 (AR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2821 Kavanaugh Blvd Ste 1c
Little Rock, AR 72205-3868
Phone: (501) 235-8978
Fax: (501) 325-3059
Street-level locationGet directions
Mailing address
2821 Kavanaugh Blvd Ste 1c
Little Rock, AR 72205-3868
Registry dates
- Enumerated
- 2009-06-02
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.