| NPI | 1053605592 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2011-06-01 |
| Last Updated | 2025-04-17 |
| Mailing Address | 518 W Cypress St Phoenix, AZ 85003-1107 United States Phone: (602) 826-2942 📍 View Map |
| Primary Practice Address | 9000 W Thunderbird Rd Ste 110 Peoria, AZ 85381-4451 United States Phone: (855) 776-7266 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | AZ | 50795 |
| Yes | 207R00000X – Internal Medicine | AZ | 50795 |
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About NPI 1053605592
Wylie Carhartt MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053605592. The primary specialty listed is Internal Medicine. The provider is located in Peoria, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-06-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053605592?
NPI 1053605592 belongs to Wylie Carhartt MD, a Internal Medicine in Peoria, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053605592 active?
The current status of NPI 1053605592 in the NPPES registry is Active. The record was last updated on 2025-04-17.
What specialty is NPI 1053605592?
NPI 1053605592 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053605592?
You can verify NPI 1053605592 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053605592?
The primary practice address on file for NPI 1053605592 is 9000 W Thunderbird Rd Ste 110, Peoria, AZ 85381-4451. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053605592 issued?
NPI 1053605592 was first issued (enumerated) on 2011-06-01. The NPPES record was last updated on 2025-04-17.
Practice Location Map
Wylie Carhartt is located at 9000 W Thunderbird Rd Ste 110, Peoria, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wylie Carhartt. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053605592. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 50795 | AZ |
| Internal Medicine | 50795 | AZ |