Esther Louise Wylen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME82022 Issued in FL

Practice address

5955 Rand Blvd
Sarasota, FL 34238-5160

Phone

(941) 876-4360

Fax

(941) 552-7605

NPI assigned

Jul 9, 2006

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1669405924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-876-4360",
            "fax_number": "941-552-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-876-4360",
            "fax_number": "941-552-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLEN",
        "first_name": "ESTHER",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME82022",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME82022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021076300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ewylen@tidewell.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5955 Rand Blvd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342385160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beata Wrobel
• Troy A Wubbena, PA-C, PHD
• Cassandra M Wurtzel
• Lynn-Marie Wustin
• Morgan Sue Wyatt
• Michael Robert Wynot, DPT
• Ying Xiong
• Xiong's Acupuncture and Chinese Medicine LLC
• Xpress House Calls, LLC
• Jeffrey L Yaffey, CRNA

• General Practice Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.