JULIE P WYATT


Address: 3000 Old Canton Rd Ste 430, Jackson, MS 39216
Phone: 6019825441

JULIE P WYATT (NPI# 1053532226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053532226
Entity Type Individual
Full Name JULIE P WYATT
Credential MD
Practice Address 3000 Old Canton Rd Ste 430
Jackson
MS 39216
Mailing Address 3000 Old Canton Rd Ste 430
Jackson
MS 39216-4225
Practice Telephone 6019825441
Practice Fax Number 6019825442
Mailing Telephone 6019825441
Mailing Fax Number 6018156613
Enumeration Date 2007-05-02
Last Update Date 2018-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 20645 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 08655862 05
RR MEDICARE P00781089 01
MS RAILROAD MEDICARE PTAN P01193355 01

Other Providers JULIE WYATT

NPI Name Taxonomy Address Enumeration
1508281502 Julie Wyatt Counselor 65 Monticello Dr, North Attleboro, MA 02760-4300 2014-02-27
1285158907 Julie Anna Wyatt Counselor 2924 Knight St, Shreveport, LA 71105-2415 2017-08-03
1932297041 Julie J Wyatt Physical Therapist 3501 Midway Rd, Suite 198, Plano, TX 75093 2006-10-11
1386740611 Julie Victoria Wyatt Nurse Practitioner 82-68 164th St, Jamaica, NY 11432-1121 2006-09-15

Office Location

Street Address 3000 OLD CANTON RD STE 430
City JACKSON
State MS
Zip Code 39216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982165080 Amy Heidelberg Nurse Practitioner 3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225 2019-03-29
1114409422 Julie Wyatt Dermatology Clinic, Pllc Dermatology 3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225 2018-09-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427408319 Advanced Dermatology of Wyoming, Inc Dermatology 62 South Redmond Street, Jackson, WY 83001-8664 2016-06-21
1871814095 Elizabeth Anne Gordon Spratt Dermatology 3333 Spring Arbor Rd Ste 500, Jackson, MI 49203-8605 2010-06-22
1962644013 Virginia Anne Koubek Dermatology 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2009-04-02
1265653745 Brittany Wilson Baker Dermatology 984 W Broadway, Suite 4, Jackson, WY 83001-0000 2007-05-01
1982705570 Louis Julian Wise Jr. Dermatology 3000 Old Canton Road, Suite 430, Jackson, MS 39216 2006-09-26
1215940937 Sterling Ruffin Craig Dermatology 2817 North Highland Avenue, Suite A, Jackson, TN 38305-1789 2006-08-14
1366459026 Chemene Quinn Dermatology 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202-1650 2006-08-02
1609893296 Kenneth R. Maloney Dermatology 294 Summar Drive, Jackson, TN 38301 2006-07-17
1720039423 William P Teer Dermatology 1320 Union University Dr, Jackson, TN 38305-3780 2006-05-15
1447233754 Jonathan Glenn Baker Dermatology 984 West Broadway, Suite 4, Jackson, WY 83001-0000 2005-11-22
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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