CAROLYN WYATT


Address: 8808 Centre Park Dr, Suite 206, Columbia, MD 21045-2126
Phone: 4108846116

CAROLYN WYATT (NPI# 1316999840) 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) 1316999840
Entity Type Individual
Full Name CAROLYN WYATT
Credential MD
Practice Address 8808 Centre Park Dr
Suite 206
Columbia
MD 21045-2126
Mailing Address 8808 Centre Park Drive
Suite 206
Columbia
MD 21045
Practice Telephone 4108846116
Practice Fax Number 4107301803
Mailing Telephone 4108846116
Mailing Fax Number 4107301803
Enumeration Date 2006-05-16
Last Update Date 2012-05-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine D0032932 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 597771103 05

Other Providers CAROLYN WYATT

NPI Name Taxonomy Address Enumeration
1558809525 Carolyn Wyatt Behavioral Analyst 1706 E Broad St, Columbus, OH 43203 2017-02-09
1659699569 Carolyn Marie Wyatt Nurse Practitioner 333 Laws Ave, Ukiah, CA 95482-6540 2010-05-17
1104095223 Carolyn A Wyatt Audiologist 8218 Wisconsin Ave, Suite 106, Bethesda, MD 20814-3107 2008-02-22
1437139607 Carolyn J. Wyatt Psychologist 814 S Washington St, Moscow, ID 83843-3049 2006-01-22

Office Location

Street Address 8808 CENTRE PARK DR
SUITE 206
City COLUMBIA
State MD
Zip Code 21045-2126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053634832 Sang Min Lee Chiropractor 8808 Centre Park Dr, Suite 208, Columbia, MD 21045-2126 2010-03-08
1003040742 Centre Park Counseling Center LLC Counselor 8808 Centre Park Dr, Second Floor, Columbia, MD 21045-2126 2009-05-11
1861660839 Richard A. Fein, Dmd, Pa Dentist 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 2008-02-13
1982806691 Ghulam Murtaza Dentist 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 2007-06-04
1114015161 Ted David Annenberg Acupuncturist 8808 Centre Park Dr, Suite 103, Columbia, MD 21045-2126 2006-10-11
1336167451 Richard Fein Dentist 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 2006-07-17
1578515706 Uma Murthy Internal Medicine 8808 Centre Park Dr, Ste 201, Columbia, MD 21045-2221 2006-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
1811497910 Dominique Nichole Hale Behavior Technician 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 2018-02-15
1982116802 Bradley D. Stiles Acupuncturist 6257 Deep River Cyn, Columbia, MD 21045 2017-11-01
1194234849 University of Maryland Eye Associates, P.a. Eyewear Supplier (Equipment, not the service) 5900 Waterloo Road, Suite 230, Columbia, MD 21045 2017-09-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447868005 Brittany Mechelle Waterworth Family Medicine 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 2020-07-20
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1457977563 Jenny Tatiana Gonzalez Guzman Family Medicine Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-24
1942825500 Jarvis Jamal Johnson Family Medicine Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-10
1386268183 Nicolas Anthony Limogiannis Family Medicine Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-08
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1275177420 Palmetto Primary Care Physicians Family Medicine 1415 Blanding St Ste 2, Columbia, SC 29201-2922 2019-10-31
1558919852 Synergos Medical, LLC Family Medicine 1703 Oak Cliff Pl, Columbia, MO 65203-4719 2019-08-29
1972156982 Maury Regional Medical Group, Inc Family Medicine 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 2019-07-18
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Competitor

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City COLUMBIA
Zip Code 21045

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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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