JACK WINFRED WYLIE MD
NPI 1043255052
Orthopaedic Surgery in Cottonwood, AZ

NPI Status: Active since June 17, 2006

Contact Information

450 S WILLARD ST
SUITE 105
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-1112
Fax: (928) 634-1117

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  • Individual
  • Male
  • Orthopaedic Surgery

About JACK WYLIE

This page provides the complete NPI Profile along with additional information for Jack Wylie, a provider established in Cottonwood, Arizona with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1043255052 assigned on June 2006. The practitioner's primary taxonomy code is 207X00000X with license number 23100 (AZ). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1043255052
Provider Name
JACK WINFRED WYLIE MD
Gender
Male
Entity Type
Individual
Location Address
450 S WILLARD ST SUITE 105 COTTONWOOD, AZ 86326
Location Phone
(928) 634-1112
Location Fax
(928) 634-1117
Mailing Address
1200 N BEAVER ST PAYER CREDENTIALING FLAGSTAFF, AZ 86001
Mailing Phone
(928) 773-2559
Mailing Fax
(928) 634-1117
Is Sole Proprietor?
No
Enumeration Date
06-17-2006
Last Update Date
03-16-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
23100
License State
AZ
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z190852MEDICARE PIN (08)AZ 
F61342MEDICARE UPIN (02) 
212134MEDICAID (05)AZ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043255052, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 4 + 5 + 1 + 0 + 0 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043255052.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
450 S WILLARD ST, STE 106
COTTONWOOD, AZ 86326
Family Medicine
450 S WILLARD ST, SUITE 120
COTTONWOOD, AZ 86326
Family Medicine
450 S WILLARD ST, STE 115
COTTONWOOD, AZ 86326
Nurse Practitioner
450 S WILLARD ST, SUITE 120
COTTONWOOD, AZ 86326
Surgery
450 S WILLARD ST, STE 107
COTTONWOOD, AZ 86326
Internal Medicine
450 S WILLARD ST, STE 103
COTTONWOOD, AZ 86326
Thoracic Surgery (Cardiothoracic Vascular Surgery)
450 S WILLARD ST, STE 107
COTTONWOOD, AZ 86326
Internal Medicine (Pulmonary Disease)
450 S WILLARD ST, SUITE 103
COTTONWOOD, AZ 86326
Physical Therapist
450 S WILLARD ST, SUITE 106
COTTONWOOD, AZ 86326
Physical Medicine & Rehabilitation
450 S WILLARD ST, SUITE 106
COTTONWOOD, AZ 86326
Clinic/Center (Urgent Care)
450 S WILLARD ST, SUITE 120
COTTONWOOD, AZ 86326
Internal Medicine (Cardiovascular Disease)
450 S WILLARD ST, STE 115
COTTONWOOD, AZ 86326
Psychiatry & Neurology (Neurology)
450 S WILLARD ST
COTTONWOOD, AZ 86326
Physician Assistant (Medical)
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
450 S WILLARD ST, SUITE 105
COTTONWOOD, AZ 86326
Internal Medicine
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Psychiatry & Neurology (Neurology)
450 S WILLARD ST, STE 107
COTTONWOOD, AZ 86326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043255052, enumerated as an "individual" on June 17, 2006.

The provider is located at 450 S WILLARD ST SUITE 105 COTTONWOOD, AZ 86326 and the phone number is (928) 634-1112.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.