Verde Valley Orthopedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

VERDE VALLEY ORTHOPEDICS PC

Practice address

450 S Willard St
Suite 101
Cottonwood, AZ 86326-6743

Phone

(928) 634-1112

Fax

(928) 634-1117

NPI assigned

Jun 28, 2006

Last updated

Aug 22, 2020By 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

Jack Winfred Wylie, MDNPI 1043255052

Title

Physician

Phone

(928) 634-1112

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jack Winfred Wylie, MD

  • Orthopaedic Surgery Physician
  • Cottonwood, AZ
  • NPI 1043255052
  NPD (past) Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184652562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "SUITE 101",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-1112",
            "fax_number": "928-634-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "SUITE 101",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-1112",
            "fax_number": "928-634-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WINFRED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-634-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verde Valley Heart Center
• Verde Valley Heart, LLC (Verde Valley Heart Center)
• Verde Valley Medical Center (Verde Valley Medical Center Retail Pharmacy)
• Verde Valley Medical Center
• Verde Valley Occupational Therapy LLC
• Verde Valley Sedona Advanced Imaging Diagnostics LLC (Advanced Imaging Diagnostics)
• Verde Valley Urgent Care and Occupational Medicine, PLC
• Laurie Verdier, LPC
• Brynna Scout Fullerton Vergara
• Steven Vergara, D.D.S.

• Orthopaedic Surgery Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.