CARL EDWARD WYNE MD NPI 1114947223

NPI Information

  • NPI: 1114947223
  • Provider Name: CARL EDWARD WYNE, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 5770 FASHION BLVD
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 314-4544

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NPI Details

Carl Edward Wyne, MD is a geriatric medicine family medicine in Murray, UT. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Carl Edward Wyne, MD NPI is 1114947223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5770 FASHION BLVD
MURRAY, UT
ZIP 84107-548
Phone: (801) 314-4544

The enumeration date for this NPI number is 7/20/2006 and was last updated on 10/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric Medicine3114301205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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