Active NPIIndividual provider

James D Wylie, MD

Orthopaedic Surgery, Sports Medicine in Murray, Utah

NPI Number1760771794
Practice location
5848 S Fashion Blvd, Murray, UT 84107-6157
Fax
—
Last updated
September 25, 2018

James Derek Wylie is an Orthopaedic Surgery, Sports Medicine based in Murray, UT. James Derek Wylie practices in Murray, UT and has the professional credentials of MD. The NPI Number for James Derek Wylie is 1760771794 and holds a License No. 55564 (CT). The current practice location address for James Derek Wylie is 5848 S Fashion Blvd, Murray, UT 84107-6157 and can be reached out via phone at 801-314-4100.

Provider Profile Details

NPI Number
1760771794
Provider Name
James Derek Wylie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5848 S Fashion Blvd, Murray, UT 84107-6157
Phone Number
801-314-4100
Primary Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2011
Last Update Date
September 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5848 S Fashion Blvd
Murray, UT 84107-6157
City
Murray
State
Utah
Zip
84107-6157
Phone Number
801-314-4100
Murray, UT 84107Get directions →

Provider Business Mailing Address Details

Address
1888 Sun Peak Dr
Park City, UT 84098-6718
City
Park City
State
UT
Zip
84098-6718
Phone Number
216-333-5836

License Information

License Number (1)
55564
License State (1)
CT
Taxonomy (1)
Orthopaedic Surgery, Sports Medicine · 207XX0005X
License Number (2)
270960
License State (2)
MA
Taxonomy (2)
Orthopaedic Surgery, Sports Medicine · 207XX0005X
License Number (3)
8438015-1205
License State (3)
UT
Taxonomy (3)
Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of James D Wylie, MD?

The NPI number of James D Wylie, MD is 1760771794. It was assigned on March 30, 2011 and is currently active in the NPPES registry.

What is the specialty of James D Wylie, MD?

James D Wylie, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in CT under license number 55564.

Where does James D Wylie, MD practice?

The practice location is 5848 S Fashion Blvd, Murray, UT 84107-6157. The office can be reached at 801-314-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760771794 directly on the NPPES registry website.

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