WESLEY D WYLIE MD LLC
NPI 1437383379
Clinic/Center - Primary Care in Provo, UT

Active since May 06, 2009
280 RIVER PARK DR, PROVO, UT 84604(801) 380-0432(801) 802-0108 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wesley D Wylie Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY D WYLIE MD LLC (NPI 1437383379) is a healthcare organization registered as a primary care in Provo, Utah and active in the NPI registry since May 2009. The organization lists Wesley Douglas Wylie, Manager, as its authorized official.

NPPES Registry Identity

NPI1437383379
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWESLEY D WYLIE MD LLC
Location Address280 RIVER PARK DRProvo, UT 84604-5764
Mailing Address1027 Oakridge Rd SPark City, UT 84098-5615 · (801) 380-0432 · Fax (801) 802-0108
Fax(801) 802-0108
Organization SubpartNo
Authorized OfficialWesley Douglas WylieManager · (801) 380-0432
Enumeration DateMay 6, 2009
NPI 1437383379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in UT · 187190-1205
280 RIVER PARK DR, Provo, UT 84604

Other Identifiers 3

Medicare PIN005544701UT
Medicare UPINE59809UT
Medicaid11032UT

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
280 RIVER PARK DR, #200
PROVO, UT 84604
Ophthalmology
280 RIVER PARK DR, SUITE 220
PROVO, UT 84604
Clinic/Center (Ambulatory Surgical)
280 RIVER PARK DR, SUITE 200
PROVO, UT 84604
Massage Therapist
280 RIVER PARK DR, SUITE 240
PROVO, UT 84604
Ophthalmology
280 RIVER PARK DR, SUITE 220
PROVO, UT 84604
Surgery (Plastic and Reconstructive Surgery)
280 RIVER PARK DR, STE 240
PROVO, UT 84604
Physical Therapist
280 RIVER PARK DR, #350
PROVO, UT 84604
Nurse Practitioner (Family)
280 RIVER PARK DR, SUITE 200
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley D Wylie MD LLC's NPI number?

The NPI number for Wesley D Wylie MD LLC is 1437383379. It was assigned to this organization in the NPPES registry on May 6, 2009.

Where is Wesley D Wylie MD LLC located?

Wesley D Wylie MD LLC is located at 280 River Park Dr, Provo, UT 84604. The listed phone number is (801) 380-0432.

What is Wesley D Wylie MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wesley D Wylie MD LLC was last updated on May 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.