WESLEY D WYLIE MD LLC


Address: 280 River Park Dr, Provo, UT 84604-5764
Phone: 8013800432

WESLEY D WYLIE MD LLC (NPI# 1437383379) 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) 1437383379
Entity Type Organization
Organization Name WESLEY D WYLIE MD LLC
Practice Address 280 River Park Dr
Provo
UT 84604-5764
Mailing Address 1027 Oakridge Rd S
Park City
UT 84098-5615
Practice Telephone 8013800432
Practice Fax Number 8018020108
Mailing Telephone 8013800432
Mailing Fax Number 8018020108
Enumeration Date 2009-05-06
Last Update Date 2009-05-06
Authorized Official Name WESLEY DOUGLAS WYLIE (MANAGER)
Authorized Official Telephone 8013800432
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
187190-1205 UT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT 11032 05

Office Location

Street Address 280 RIVER PARK DR
City PROVO
State UT
Zip Code 84604-5764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467451609 Bret D Hilton Physician Assistant 280 River Park Dr, Suite 120, Provo, UT 84604-5764 2005-07-19
1164887097 Kristine Emanuelson Dietary Manager 280 River Park Dr, Suite 240, Provo, UT 84604-5764 2015-12-18
1083007652 Si Procedure Center Clinic/Center 280 River Park Dr, Suite 200, Provo, UT 84604-5764 2015-03-06
1750704532 Notus Imaging and Research Laboratories Radiology 280 River Park Dr, Suite 100, Provo, UT 84604-5764 2014-01-29
1508292780 Christian Degrey Nurse Practitioner 280 River Park Dr, 200, Provo, UT 84604-5764 2013-09-19
1720265432 J.m. Clayton, Inc. Plastic Surgery 280 River Park Dr, Suite 240, Provo, UT 84604-5764 2008-01-24
1174705198 Thomas D Myers Md PC Ophthalmology 280 River Park Dr, Suite 220, Provo, UT 84604-5764 2007-11-30
1366623191 Catherine R Black Nurse Practitioner 280 River Park Dr, Suite 200, Provo, UT 84604-5764 2007-11-20
1588872691 J Riley Stringham Pain Medicine 280 River Park Dr, #200, Provo, UT 84604-5764 2007-05-21
1023049418 Daniel Rey Faber Anesthesiology 280 River Park Dr, #200, Provo, UT 84604-5764 2006-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851634224 Utah Valley Family Medicine Residency Clinic/Center 475 W. 940 S., Provo, UT 84604-3301 2013-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700499183 Grab Healthcare, LLC Clinic/Center 245 E 2150 N, Suite C, Layton, UT 84041 2020-08-26
1851917496 Centre Health Group Clinic/Center 70 West Main, Suite B, American Fork, UT 84003 2020-06-19
1942821947 First Choice Healthcare, LLC Clinic/Center 250 N American Way, Brigham City, UT 84302-2074 2020-04-30
1912526294 Boyer Medical Solutions Clinic/Center 2322 N 2080 W, Lehi, UT 84043-4897 2020-04-16
1164066015 Sterling Provider Group Clinic/Center 700 S Highway 91, Richmond, UT 84333-1209 2019-11-04
1760033443 Careatc Clinic/Center 669 W 200 S, Salt Lake City, UT 84101-1014 2019-09-24
1174006605 Bristol Palliative Care Services, L.L.C. Clinic/Center 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 2018-09-11
1649790080 Jupiter Medical II LLC Clinic/Center 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 2017-06-27
1932640752 Indiemed LLC Clinic/Center 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 2017-03-13
1649719063 Sara Arrington, A.p.r.n., P.l.l.c Clinic/Center 3110 W 300 N Ste A, West Point, UT 84015-7481 2017-02-17
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Competitor

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City PROVO
Zip Code 84604

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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.

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