Philip D Wiley MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35193 Issued in CO

Legal business name

PHILIP D WILEY MD PC

Practice address

1165 S Comino del Rio # 200
Durango, CO 81303-6824

Phone

(970) 247-2920

Fax

(970) 247-2923

NPI assigned

Aug 6, 2007

Last updated

Aug 31, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip David Wiley, MDNPI 1467419135

Title

President

Phone

(970) 247-2920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip David Wiley, MD

  • Otolaryngology Physician
  • Durango, CO
  • NPI 1467419135
  Medicare reassignment Care Compare group NPD Authorized official
• Lucia Arriola-Story, AU.D.

  • Audiologist
  • Cortez, CO
  • NPI 1962428151
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1134310915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S COMINO DEL RIO # 200",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-247-2920",
            "fax_number": "970-247-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S COMINO DEL RIO # 200",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-247-2920",
            "fax_number": "970-247-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP D WILEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-247-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "35193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Pilar Peters, DMD
• Lindsay Beach Petersen, NCMT
• John F Pettus, DDS
• Barbara Donica Pevny, M.A., L.P.C.
• Christy Pfaffmann
• Marjory Lynn Philippon, CLT, RMT
• Rosanna Marie Phillippi, M.A. CCC-SLP
• April Christina Phillips, DNP, FNP-C, PMHNP-BC
• Sarah Phillips, LSW
• Daniella Anne Phillis, D.M.D.

• Otolaryngology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.