Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wesley D Wylie, MD

Individual provider Family Medicine Physician · NPI 1548215197

Wesley D Wylie, MD is a Hospitalist in Provo, Utah. Qualified in 1989, 37 years ago. Practices with Shoshone Medical Center, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
37
Licensed in
ID, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

280 River Park Dr Ste 350
Provo, UT 84604-5764
Phone: (801) 380-0432
Fax: (801) 802-0108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-12076 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 187190-1205 (UT)
Hospitalist Physician Taxonomy 208M00000X · Licence M-12076 (ID)

Record details

NPI number1548215197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2006
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Shoshone Medical Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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