DOUGLAS JOHN WYLAND (NPI# 1699771121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699771121 |
| Entity Type | Individual |
| Full Name | DOUGLAS JOHN WYLAND |
| Credential | MD |
| Practice Address |
333 S Pine St Spartanburg SC 29302-2622 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8645157500 |
| Practice Fax Number | 8645157501 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 28429 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 284294 | 05 | |
| SC | MEDICARE RAILROAD | P00354702 | 01 |
| Street Address |
333 S PINE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582190 | Katharine Anne Jenkins | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2019-11-15 |
| 1013475607 | Haley Williams Stevenson | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2019-03-04 |
| 1407329303 | Beth Ellen Fiszer | Nurse Practitioner | 333 S Pine St, Spartanburg, SC 29302 | 2019-01-03 |
| 1063980100 | Shelby Lee Williams | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2018-11-07 |
| 1548774409 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2017-11-29 |
| 1437676202 | Kristin Harter Pinheiro | Physician Assistant | 333 S Pine St, Spartanburg, SC 29302-2622 | 2017-08-23 |
| 1811422553 | Wesley Talley | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2017-05-01 |
| 1265884852 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2016-07-07 |
| 1104213677 | Tara Wheeler | Family Medicine | 333 S Pine St, Spartanburg, SC 29302-2622 | 2015-04-22 |
| 1912390667 | Sarah Emilia Moore | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1821408238 | Spartanburg Medical Center | Orthopaedic Surgery | 9768 Warren H. Abernathy Hwy, Spartanburg, SC 29301-5201 | 2014-05-07 |
| 1285659219 | Glenn L Scott | Orthopaedic Surgery | 900 South Pine Street, Ste A, Spartanburg, SC 29302 | 2006-07-12 |
| 1437100781 | Stephen M Kana | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303-4224 | 2006-05-12 |
| 1225036551 | Walter Grady | Orthopaedic Surgery | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2005-07-11 |
| 1609386424 | Spartanburg Medical Center | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303 | 2017-10-06 |
| 1578978821 | David Anthony Barcel | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2014-06-25 |
| 1306285978 | Travis Michael Patterson | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2013-06-17 |
| 1235478694 | Spartanburg Medical Center | Orthopaedic Surgery | 480 Floyd Rd, Suite A, Spartanburg, SC 29307-1518 | 2013-02-05 |
| 1437413887 | Pain Management Assocciates | Orthopaedic Surgery | 138 Dillon Dr, Spartanburg, SC 29307-1018 | 2012-06-30 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.