CARL EDWARD WYNE


Address: 5770 Fashion Blvd, Murray, UT 84107-6548
Phone: 8013144544

CARL EDWARD WYNE (NPI# 1114947223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114947223
Entity Type Individual
Full Name CARL EDWARD WYNE
Credential MD
Practice Address 5770 Fashion Blvd
Murray
UT 84107-6548
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013144544
Mailing Telephone 8013144544
Enumeration Date 2006-07-20
Last Update Date 2007-10-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
3114301205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 5770 FASHION BLVD
City MURRAY
State UT
Zip Code 84107-6548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255304408 Lisa Doyle Emergency Medicine 5770 Fashion Blvd, Murray, UT 84107-6548 2006-02-08
1881870152 John G. Robinson, M.d., P.C. Specialist 5770 Fashion Blvd, Murray, UT 84107-6548 2008-01-16
1194929083 Amy Lyn Hansen Speech-Language Pathologist 5770 Fashion Blvd, Murray, UT 84107-6548 2007-06-13
1245452515 Scott James Jolley Emergency Medicine 5770 Fashion Blvd, Murray, UT 84107-6548 2007-05-03
1700919354 Amy Lynne Leiseth Physical Therapist 5770 Fashion Blvd, Murray, UT 84107-6548 2007-03-13
1083715445 John G Robinson Specialist 5770 Fashion Blvd, Murray, UT 84107-6548 2006-09-26
1285737445 Edward A Loeser Anesthesiology 5770 Fashion Blvd, Murray, UT 84107-6548 2006-09-06
1316049588 Gaylon K Peterson Anesthesiology 5770 Fashion Blvd, Murray, UT 84107-6548 2006-09-01
1174635494 Brenda K Blackham Anesthesiology 5770 Fashion Blvd, Murray, UT 84107-6548 2006-08-31
1669585600 Pardis A Brown Speech-Language Pathologist 5770 Fashion Blvd, Murray, UT 84107-6548 2006-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1154755882 Senior Mobile Docs Family Medicine 9980 S 300 W, Suite 245, Sandy, UT 84070-3627 2013-08-29
1710245402 Medicruiser Onsite Care Family Medicine 225 10th Ave, Salt Lake City, UT 84103-2529 2012-05-01
1083998603 Ogden Internal Medicine and Urology Family Medicine 2950 N Church Street, Layton, UT 84040 2011-09-30
1447226717 John R Dietlein Family Medicine 6886 Hollow Mill Dr, Salt Lake City, UT 84121-3322 2006-02-27
1508145111 Ihc Health Services Inc Family Medicine 9720 S 1300 E, Ste E240, Sandy, UT 84094-3795 2011-08-12
1235426925 Steven E Warren Md PC LLC Family Medicine 4790 Hidden Lake Dr, Bountiful, UT 84010-6083 2011-07-01
1396999868 Cynthia Jean Lawlor Family Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0001 2008-11-11
1760650527 Columbia Ogden Regional Family Medicine 5405 S 500 E, Suite 110, Ogden, UT 84405-6957 2008-02-14
1689746786 Nancy Jo Zega Family Medicine 425 E 5350 S, 255, Ogden, UT 84405-6946 2006-11-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City MURRAY
Zip Code 84107

Improve Information

Please comment or provide details below to improve the information on CARL EDWARD WYNE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches