Provider Type Icon

CAROL Y WYSE DO PLC NPI 1467528315


NPI Information

NPI: 1467528315
Provider Name: CAROL Y WYSE DO PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6012 LINDEN RD
SUITE 14
SWARTZ CREEK, MI
ZIP 48473
Phone: (810) 655-5900
Get Directions

CAROL Y WYSE DO PLC is a family medicine in Swartz Creek, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAROL Y WYSE DO PLC NPI is 1467528315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6012 LINDEN RD
SUITE 14
SWARTZ CREEK, MI
ZIP 48473-890
Phone: (810) 655-5900
Fax: (810) 655-5915

The provider's authorized official is Carol Y Wyse .
The authorized official title is President and has the following contact phone number (810) 655-5900.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 11/3/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineCW007869MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14079297MEDICAIDMICHIGAN
20P38520MEDICARE PINMICHIGAN
3080139268OTHERRR MEDICARE
45250325OTHERBCBS
5E61666MEDICARE UPIN

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: 5/5/2024

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.