ROBERT J WYLIE (NPI# 1568436871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568436871 |
| Entity Type | Individual |
| Full Name | ROBERT J WYLIE |
| Credential | MD |
| Practice Address |
200 West Hospital Drive Whiteriver AZ 85941-0860 |
| Mailing Address |
Po Box 860 Whiteriver AZ 85941-0860 |
| Practice Telephone | 9283384911 |
| Practice Fax Number | 9283385508 |
| Mailing Telephone | 9283384911 |
| Mailing Fax Number | 9283385508 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 18644A | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1629236716 | 05 | |
| AZ | 286254 | 05 | |
| AZ | 1871523191 | 05 | |
| OWCP | 241333500 | 01 | |
| AZ | BLUE CROSS BLUE SHIELD AZ | AZ0342850 | 01 |
| AZ | 1780614008 | 05 | |
| AZ | 1295993376 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1568511434 | Robert T Wylie | Dentist | 88 Niagara St, Suite 3a, Tonawanda, NY 14150 | 2007-01-09 |
| 1336213057 | Robert Gerard Wylie | Dentist | 182 E 1st St, Corning, NY 14830-2816 | 2006-11-17 |
| 1003935974 | Robert Steven Wylie | Dentist | 8540 S Sepulveda Blvd, Suite 1211, Los Angeles, CA 90045-3807 | 2007-03-29 |
| 1114063773 | Robert Keels Wylie | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2007-01-30 |
| Street Address |
200 WEST HOSPITAL DRIVE |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941-0860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461002 | Edgar Alan Boone | Family Medicine | 200 West Hospital Drive, Whiteriver, AZ 85941-0860 | 2005-07-18 |
| 1447871751 | Dorlette Somtia | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2020-04-28 |
| 1003466236 | Zebedee Walpert | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-09-19 |
| 1790245587 | Austin Acree | Dietitian, Registered | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-03-20 |
| 1275012460 | Kameron Baker | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2018-08-09 |
| 1023532140 | Lia M Jasperse | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-07-31 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1811431612 | Emily Gaffney | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2016-12-13 |
| 1497205819 | Scott Peake | Nurse Practitioner | 200 West Hospital Drive, Box 860, Whiteriver, AZ 85941 | 2016-10-10 |
| 1174913487 | Andrea Shae Johnson | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1871870980 | Kathleen Wynn | Registered Nurse | 400 Apache Drive, Whiteriver, AZ 85941 | 2011-11-03 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945194 | John C. Medlen, M.d., P.C. | Orthopaedic Surgery | 1701 W St Marys Rd Ste 145, Tucson, AZ 85745-2683 | 2020-06-05 |
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1003455197 | Gough Surgical Pllc | Orthopaedic Surgery | 9571 E Nittany Dr, Scottsdale, AZ 85255-5555 | 2020-01-06 |
| 1053877464 | Sgl Holdings LLC | Orthopaedic Surgery | 3501 N Scottsdale Rd Ste 221, Scottsdale, AZ 85251-5649 | 2019-02-11 |
| 1588134449 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 14044 W Camelback Rd Ste 120, Litchfield Park, AZ 85340-9428 | 2018-12-04 |
| 1841770450 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 3645 S Rome St Ste 201, Gilbert, AZ 85297-7338 | 2018-08-14 |
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1457831059 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 2152 S Vineyard Ste 129, Mesa, AZ 85210-6882 | 2018-08-14 |
| 1780163030 | Larry J. Sanders, M.d., Pllc. | Orthopaedic Surgery | 8235 S Pecan Grove Cir, Tempe, AZ 85284-2311 | 2018-08-08 |
| 1992299499 | Arizona Advanced Surgical Assists LLC | Orthopaedic Surgery | 5235 E Southern Ave Ste D106-440, Mesa, AZ 85206-3626 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
| City | WHITERIVER |
| Zip Code | 85941 |
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| 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.