Mark W Wylie, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

L7265 Issued in TX

Practice address

6301 Harris Pkwy Ste 200
Fort Worth, TX 76132-4249

Phone

(817) 433-3450

Fax

(817) 294-6429

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
• Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
• Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
• Enhabit Home Health Home health agency, Granbury, TX, CCN 679021
• Enhabit Home Health Home health agency, Wichita Falls, TX, CCN 678008
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwylie28921@direct.texashealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group NPD (past)
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of DFW, LLC

  • Home Health Agency
  • Grapevine, TX
  • NPI 1245521103
  Care Compare affiliation
• Eh of Fort Worth, LP

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1174955413
  Care Compare affiliation
• Eh of Fort Worth, LP

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1326126632
  Care Compare affiliation
• Eh of Fort Worth, LP

  • Home Health Agency
  • Granbury, TX
  • NPI 1730331414
  Care Compare affiliation
• Eh of West Texas, LP

  • Home Health Agency
  • Abilene, TX
  • NPI 1942227459
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1750306502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 HARRIS PKWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324249",
            "telephone_number": "817-433-3450",
            "fax_number": "817-294-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 HARRIS PKWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324249",
            "telephone_number": "817-433-3450",
            "fax_number": "817-294-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L7265",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L7265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00166250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161222802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Wyatt, M.D.
• Toni Wyatt, LMSW
• Cameron Susanna Wylie, CRNA
• Kevin D Wylie, DO
• Kristin Wylie, MS, CCC-SLP
• Amber Wynn
• Lee A Wynne, WHNP
• Mallory Wyrick, PA-C
• Scott R. Wysowski, PA-C
• Pamela Anna Wysuph

• Orthopaedic Surgery of the Spine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.