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WILDCREEK FAMILY MEDICAL CENTER
NPI 1619007176
Family Medicine in Sparks, NV

Active since March 06, 2007
2125 GREEN VISTA DR, SUITE 106, SPARKS, NV 89431(775) 673-6681(775) 673-6682 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildcreek Family Medical Center NPPES

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

WILDCREEK FAMILY MEDICAL CENTER (NPI 1619007176) is a healthcare organization registered as a family medicine in Sparks, Nevada and active in the NPI registry since March 2007. The organization lists Phillis Maxine Boyd, Owner, as its authorized official.

NPPES Registry Identity

NPI1619007176
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILDCREEK FAMILY MEDICAL CENTER
Location Address2125 GREEN VISTA DR, SUITE 106Sparks, NV 89431-8545
Mailing Address2125 Green Vista Dr, Suite 106Sparks, NV 89431-8545 · (775) 673-6681 · Fax (775) 673-6682
Phone(775) 673-6681
Fax(775) 673-6682
Organization SubpartNo
Authorized OfficialPhillis Maxine BoydOwner · (775) 673-6681
Enumeration DateMarch 6, 2007
Last NPPES UpdateDecember 6, 2012
✔ NPI 1619007176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2125 GREEN VISTA DR, Sparks, NV 89431
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Other Identifiers 3

Medicare UPINV39680NV
Medicaid002016380NV
OtherDB9089NV · Rrmedicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KEVIN J ANDREWS DDS MS A PROFESSIONAL CORPORATION
Dentist (Orthodontics and Dentofacial Orthopedics)
2125 GREEN VISTA DR, #104
SPARKS, NV 89431
Washoe County (775) 674-1444

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 Wildcreek Family Medical Center's NPI number?

The NPI number for Wildcreek Family Medical Center is 1619007176. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Wildcreek Family Medical Center located?

Wildcreek Family Medical Center is located at 2125 Green Vista Dr Suite 106, Sparks, NV 89431. The listed phone number is (775) 673-6681.

What is Wildcreek Family Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wildcreek Family Medical Center was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.