Constance R Wylie (NPI# 1376630814, PAC ID# 0244326254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376630814 |
PAC ID by PECOS | 0244326254 |
Professional Enrollment ID | I20071022000264 |
Full Name | Constance R Wylie |
Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
Address |
600 Coffee Rd Modesto CA 95355-4201 |
Phone Number | 9167324380 |
Gender | F |
Graduation Year | 1994 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4284538778 |
Number of Group Practice Members | 2513 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
050030 | OROVILLE HOSPITAL |
050042 | ST ELIZABETH COMMUNITY HOSPITAL |
050309 | SUTTER ROSEVILLE MEDICAL CENTER |
050014 | SUTTER AMADOR HOSPITAL |
Address | Phone | Organization |
---|---|---|
600 Coffee Rd, Modesto, CA 95355-4201 | 9167324380 | SUTTER BAY MEDICAL FOUNDATION |
1315 Alhambra Blvd, Suite 210, Sacramento, CA 95816-5246 | 9167324380 | SUTTER BAY MEDICAL FOUNDATION |
Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
Physicians | 2773 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
Street Address |
600 COFFEE RD |
City | MODESTO |
State | CA |
Zip | 95355-4201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rahim Fazel | Diagnostic Radiology | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Alexis L Dasig | Preventative Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Martin F Pricco | Preventative Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Arlaine Gutierrez | Pediatric Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Shawn R Vanbockel | Diagnostic Radiology | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Ripudaman Singh Munjal | Hospitalist | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
John J Jacisin | Psychiatry | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Thomas A Kraft | Physician Assistant | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Find all physicians in zip 95355 |
City | MODESTO |
Zip Code | 95355 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MODESTO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Constance R Wylie.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.