RICHARD A WYATT


Address: 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: 9529933090

RICHARD A WYATT (NPI# 1235117177) 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) 1235117177
Entity Type Individual
Full Name RICHARD A WYATT
Practice Address 3800 Park Nicollet Blvd
St Louis Park
MN 55416-2527
Mailing Address 3800 Park Nicollet Blvd
Credentialing
Minneapolis
MN 55416-2527
Practice Telephone 9529933090
Enumeration Date 2006-01-01
Last Update Date 2012-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
23942 MN Allopathic & Osteopathic Physicians

Other Providers RICHARD WYATT

NPI Name Taxonomy Address Enumeration
1588008650 Richard Dennis Wyatt Contractor 153 Burnham Ln, Dover, DE 19904-3830 2013-04-19
1568447613 Richard M. Wyatt Dermatology 29b Cottage St, Amherst, MA 01002-2172 2005-12-13
1679034698 Richard Allen Wyatt Jr. Student in an Organized Health Care Education/Training Program 4301 W Markham St # 515, Little Rock, AR 72205-7101 2019-03-31
1912948902 Richard A. Wyatt Obstetrics & Gynecology 9500 Kanis Rd, Suite 200, Little Rock, AR 72205-6324 2006-06-09
1124001243 Richard B Wyatt Pathology 802 Kenyon Rd, Fort Dodge, IA 50501-5740 2005-11-22

Office Location

Street Address 3800 PARK NICOLLET BLVD
City ST LOUIS PARK
State MN
Zip Code 55416-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861497745 Mary C Fields Psychiatry & Neurology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-06-16
1316552383 Emily Elizabeth Morimoto Psychologist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2020-09-15
1245862846 Caara Hirsch Leintz Physician Assistant 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2020-02-11
1477102770 Kyja Foster Counselor 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-09-09
1750938411 Abigale Jayne Harris Social Worker 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-08-19
1912552076 Michael Patrick Miller Dietitian, Registered 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-08-06
1083277743 Jessica B Arndt Social Worker 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-04-18
1043785157 Jerry L Juhl Physical Therapist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-10-05
1437624558 Chandler Elise Domian Ommen Occupational Therapist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-10-04
1861977472 Sarah Ruth Tupper Nurse Practitioner 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
Find all providers in zip 55416

Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013994052 Richard Sveum Pediatrics 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 2005-12-30

Competitor

Search similar providers

City ST LOUIS PARK
Zip Code 55416

Improve Information

Please comment or provide details below to improve the information on RICHARD A WYATT.

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.

Trending Searches