Provider Type Icon

ROBERT J WYLIE MD PC NPI 1538133848


NPI Information

NPI: 1538133848
Provider Name: ROBERT J WYLIE MD PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
5078 HIGH DR
LAKESIDE, AZ
ZIP 85929
Phone: (928) 242-1162
Get Directions

ROBERT J WYLIE MD PC is an orthopaedic surgery in Lakeside, AZ. The provider is 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. ROBERT J WYLIE MD PC NPI is 1538133848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5078 HIGH DR
LAKESIDE, AZ
ZIP 85929-551
Phone: (928) 242-1162
Fax: (928) 368-9080

The provider's authorized official is Robert J Wylie .
The authorized official title is Owner and has the following contact phone number (928) 242-1162.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 3/21/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery18644AARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0342850OTHERARIZONABLUE CROSS BLUE SHIELD
2286254MEDICAIDARIZONA
3ZMD18644MEDICARE ID-TYPE UNSPECIFIED
4E23959MEDICARE UPIN
5241333500OTHEROWCP

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.