NPIMap

Individual provider Active NPI

Zephyrinus Gabriel Wylie, DO

  • Anesthesiology Physician
  • Edwards, CO
National Provider Identifier
1881899417
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0060922 Issued in CO
Practice address
320 Beard Creek Rd
Edwards, CO 81632-6426
Phone
(509) 956-9799
Fax
(817) 877-0350
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0060922 CO Primary

Addresses

Primary practice location

320 Beard Creek Rd
Edwards, CO 81632-6426

Mailing address

PO Box 343
Edwards, CO 81632-0343
Phone (509) 956-9799

Other names 1

  • Zeph G Wylie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002670 MT Practitioner - Anesthesiology 1658519194 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gallatin Valley Anesthesia Associates PCGroup PAC ID 1456372523, 35 clinicians

Practice addresses (Care Compare)

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 585-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0060922COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince May 1, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jun 2, 2024 Accepting new patients
Billings Clinic CurrentSince May 1, 2025 Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology CurrentSince Mar 8, 2023 Accepting new patients
Intercity Radiology, PC Past Accepting new patients

Locations

2949 10TH Ave N
Billings, MT 59101

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

1450 Ellis St
Ste 101
Bozeman, MT 59715
Phone (406) 414-5336

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1881899417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816320343",
            "telephone_number": "509-956-9799",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "509-956-9799",
            "fax_number": "817-877-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "ZEPHYRINUS",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0060922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEPH",
            "last_name": "WYLIE",
            "middle_name": "G",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.