Robert J Wylie (NPI# 1568436871, PAC ID# 4082632187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1568436871 |
| PAC ID by PECOS | 4082632187 |
| Professional Enrollment ID | I20051108000044 |
| Full Name | Robert J Wylie |
| Organization Legal Name | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Phone Number | 9285376371 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8729205737 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030113 | WHITERIVER PHS INDIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 9285376371 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 200 W Hospital Dr, 860 Whiteriver Indian, Whiteriver, AZ 85941-0860 | 9283384911 | DHHS IHS PHOENIX AREA |
| Organization Legal Name | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Wade Austin | Hospice/palliative Care | Summit Healthcare Medical Associates | 5171 Cub Lake Rd, Show Low, AZ 85901-7888 |
| Edward Shane Trantham | Nurse Practitioner | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Maggie B Price | Physician Assistant | Summit Healthcare Medical Associates | 1121 S Main St, Snowflake, AZ 85937-5645 |
| Scott A Hanson | Physician Assistant | Summit Healthcare Medical Associates | 114 S White Mountain Ave, Springerville, AZ 85938 |
| Quezia Hall | Physician Assistant | Summit Healthcare Medical Associates | 4951 S White Mountain Rd, Bldg A, Show Low, AZ 85901-7801 |
| Darrell Monroe Brimhall | Family Medicine | Summit Healthcare Medical Associates | 590 S Main St, Snowflake, AZ 85937-5228 |
| Burke Gary Delange | Vascular Surgery | Summit Healthcare Medical Associates | 5448 S White Mountain Blvd, Stes 200/210, Lakeside, AZ 85929-5739 |
| Dax K Trujillo | Anesthesiology | Summit Healthcare Medical Associates | 2051 E Evergreen Ln, Suite B/c, Show Low, AZ 85901-7928 |
| Osaf Ahmed | Internal Medicine | Summit Healthcare Medical Associates | 2450 E Show Low Lake Rd, Suite 2a Bldg 1, Show Low, AZ 85901-7953 |
| Nathaniel M Wolkenfeld | General Surgery | Summit Healthcare Medical Associates | 5171 Cub Lake Rd, Show Low, AZ 85901-7888 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip | 85901-7831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig White | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| John M Carey | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Muhib Alattar | Internal Medicine | Hospitalist Medicine Healthcare LLC | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Eric V Olson | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Jared Lee | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Brandi L Didominick | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Philip Johnson | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Melissa A Green | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Aaron C Bornstein | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Yen Hui Huang | Cardiovascular Disease (cardiology) | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois R Speelman | Nurse Practitioner | Your Family Practice Team PC | 2051 Evergreen Lane D, Show Low, AZ 85901 |
| Jeffrey R Moore | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Heather John | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Victoria Karim | Audiologist | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 | |
| Salvacion Powell | Nurse Practitioner | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Melissa M Starkel | Clinical Social Worker | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Derek L Ringers | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Michael E Brown | Family Practice | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Gary D Parker | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| William K Horne | Chiropractic | 708 E Deuce of Clubs Ave, Show Low, AZ 85901-4926 | |
| Find all physicians in zip 85901 | |||
| City | SHOW LOW |
| Zip Code | 85901 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SHOW LOW + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Robert J 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.