DR. WYLIE DE VERA (NPI# 1033307376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033307376 |
| Entity Type | Individual |
| Full Name | DR. WYLIE DE VERA |
| Credential | M.D. |
| Practice Address |
1223 Mercy Dr Muskegon MI 49444-1829 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2316723177 |
| Practice Fax Number | 2316723178 |
| Mailing Telephone | 2316723177 |
| Mailing Fax Number | 2316723178 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301106085 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301106085 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6723 Winter Creek Rd, Norton Shores, MI 494448772 | 9098003939 |
| Street Address |
1223 MERCY DR |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059484 | Katherine Gross Keller | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2005-08-02 |
| 1730625799 | Samara Gwen Buck | Physician Assistant | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2017-01-16 |
| 1336438514 | Nicholas Alan Vandenbosch | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2011-03-28 |
| 1528377975 | David C Tsai | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2010-10-04 |
| 1205020088 | Valerie S Conrad | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2007-09-05 |
| 1578764775 | Megan B Hayes | Physician Assistant | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2007-05-29 |
| 1851361802 | Michelle Carol Klanke | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2006-01-24 |
| 1508843251 | Steven Westerhof | Physician Assistant | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2005-12-23 |
| 1851378657 | Chad Uptigrove | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2005-12-22 |
| 1013994870 | Michael Banka | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1306224563 | Spectrum Health Primary Care Partners | Internal Medicine | 1845 Holton Rd, Muskegon, MI 49445-1531 | 2015-05-08 |
| 1558604306 | Lucas Donald-fred Watts | Internal Medicine | 1675 Leahy St Ste 324b, Muskegon, MI 49442 | 2013-03-30 |
| 1467639591 | Karen L Seaver Md Plc | Internal Medicine | 1325 Mercy Dr., Suite 2, Muskegon, MI 49444-1884 | 2008-01-31 |
| 1528185303 | Soaries Maxine Peterson | Internal Medicine | 2301 Peck St, Muskegon, MI 49444-1428 | 2007-03-25 |
| 1568536621 | Hpcn | Internal Medicine | 1715 Peck St, Muskegon, MI 49441-2507 | 2006-11-20 |
| 1841379260 | Ronald Craig Chusid | Internal Medicine | 1762 Oak Ave, Muskegon, MI 49442-2407 | 2006-11-05 |
| 1043234719 | Hpcn | Internal Medicine | 986 W Norton Ave, Muskegon, MI 49441-4106 | 2006-07-27 |
| 1649206228 | West Michigan Internal Medicine Plc | Internal Medicine | 1854 E Apple Ave, A & B, Muskegon, MI 49442-3886 | 2006-06-24 |
| 1093755167 | Bartholomew David Sak | Internal Medicine | 1560 E Sherman Blvd Ste 240, Muskegon, MI 49444 | 2006-06-07 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.