DAVID A WYATT (NPI# 1346311677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346311677 |
Entity Type | Individual |
Full Name | DAVID A WYATT |
Credential | MD |
Practice Address |
2001 Crystal Spring Ave Sw Ste 201 Roanoke VA 24014-2465 |
Practice Telephone | 5408530100 |
Practice Fax Number | 5403429308 |
Mailing Telephone | 5408530100 |
Mailing Fax Number | 5403429308 |
Enumeration Date | 2006-11-10 |
Last Update Date | 2019-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0101037626 | VA | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME98555 | FL | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29821 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 278324000 | 05 | |
TN | 3723206 | 05 | |
TN | 3820393 | 05 | |
TN | BCBSTN | 4070506 | 01 |
TN | RAILROAD MEDICARE | P00107052 | 01 |
TN | RAILROAD MEDICARE | DB4643 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790290468 | David Anthony Wyatt | Hearing Instrument Specialist | 307 Dogwood Ln Ste C, Emporia, VA 23847-1239 | 2017-12-04 |
1831284298 | David L Wyatt | Dentist | 3012 Business Park Cir, Suite 300, Goodlettsville, TN 37072-3190 | 2006-10-03 |
1720043433 | David J Wyatt | Orthopaedic Surgery | 4845 Main Street, Suite B-1, Zachary, LA 70791-5364 | 2006-04-18 |
1619967452 | David J Wyatt | Family Medicine | 68 Se 6th St Apt 2804, Miami, FL 33131 | 2005-10-24 |
1306364070 | David Raymond Wyatt | Technician/Technologist | 2800 Veterans Memorial Blvd., Suite 200, Metairie, LA 70002 | 2017-09-01 |
1902081276 | David A Wyatt | Dentist | 99 Debartolo Pl, Boardman, OH 44512 | 2008-01-07 |
1285825471 | David Erin Wyatt | Anesthesiology | 5323 Harry Hines Blvd., Dallas, TX 75390-9068 | 2007-08-05 |
1770535189 | David T Wyatt | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2006-05-16 |
1780680538 | David Neal Wyatt | Family Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2005-06-27 |
Street Address |
2001 CRYSTAL SPRING AVE SW STE 201 |
City | ROANOKE |
State | VA |
Zip Code | 24014-2465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
1063988681 | Katherine Julie Gill | Nurse Practitioner | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2018-10-22 |
1194231449 | Chelsea Behetherland Greenspan | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2017-12-22 |
1447667324 | Carmen Danielle Nolen | Nurse Practitioner | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2014-07-12 |
1003243882 | Sarah Alyse Guzinski | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2013-10-11 |
1669761433 | Cynthia W Choate | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 | 2011-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
Find all providers in zip 24014 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669761433 | Cynthia W Choate | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 | 2011-04-01 |
1780666727 | Kevin F Ducey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Ste 201, Roanoke, VA 24014-2462 | 2005-11-16 |
1306828348 | David Christopher Wells | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Ste 201, Roanoke, VA 24014-2462 | 2005-11-16 |
1750363792 | Brian M Strain | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2005-11-16 |
1003898040 | Joseph W Baker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2005-11-16 |
1710969753 | William Scott Arnold | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2005-11-16 |
1679555627 | Joseph F Rowe IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw, Suite 201, Roanoke, VA 24014-2462 | 2005-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083181309 | Quantia Shenae Williford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 902 Summitt Ln Apt 4d, Newport News, VA 23601-2474 | 2018-10-24 |
1841733193 | Virginia Hospital Center Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 N George Mason Dr Ste 288, Arlington, VA 22205-3683 | 2016-11-18 |
1356772461 | John Parker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 656 Lynn Shores Dr, Virginia Beach, VA 23452-2645 | 2013-11-29 |
1841574597 | Miguel H Gonzalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 44112 Riverpoint Dr, Leesburg, VA 20176-8206 | 2011-09-29 |
1003107467 | Katherine Marie Klein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 E Marshall St # 980645, Richmond, VA 23298-5051 | 2011-04-20 |
1235456757 | Metropolitan Cardiac Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4123 N Ridgeview Rd, Mc Lean, VA 22101-5803 | 2010-04-23 |
1205168812 | Allen Pois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Deep Run Rd, Cartersville, VA 23027-9786 | 2010-02-06 |
1366699894 | Thomas M. Daniel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1822 Westview Road, Charlottesville, VA 22903 | 2008-08-27 |
1285841288 | Leo M Gazoni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7101 Jahnke Rd Ste 500, Richmond, VA 23225-4017 | 2007-05-17 |
1730213349 | Ivan K. Crosby | Thoracic Surgery (Cardiothoracic Vascular Surgery) | The Heart Center Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
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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.