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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
187190-1205 | UT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 11032 | 05 |
Street Address |
280 RIVER PARK DR |
City | PROVO |
State | UT |
Zip Code | 84604-5764 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 84604 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851634224 | Utah Valley Family Medicine Residency | Clinic/Center | 475 W. 940 S., Provo, UT 84604-3301 | 2013-04-03 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WESLEY D WYLIE MD LLC.
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.