RYAN HAROLD WYATT (NPI# 1346776242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346776242 |
| Entity Type | Individual |
| Full Name | RYAN HAROLD WYATT |
| Credential | M.D. |
| Practice Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8162716122 |
| Practice Fax Number | 8162716019 |
| Mailing Telephone | 8162716122 |
| Mailing Fax Number | 8162716019 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2020020741 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134650062 | Ryan Wyatt | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-03-22 |
| Street Address |
5325 FARAON ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1154943991 | Claire Christine Gregson | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-05-14 |
| 1982239349 | Kaylee Messner | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-05 |
| 1760016554 | Nicole Elizabeth Cordonnier | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-02 |
| 1689211609 | Beulah Joshua | Family Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-12-09 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1265076269 | Kia Whetstine | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-01 |
| 1962052001 | Brynde Janea Thomas | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-09-19 |
| 1073171039 | Rodger Alan Oren | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1548828528 | Samantha Jo Shuey | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412198 | Gregory Clair Rood | Emergency Medicine | 950 Tucker Dr, Saint Joseph, MI 49085-3531 | 2009-03-30 |
| 1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
| 1649247354 | Kenneth J Breker | Emergency Medicine | 9828 Jenny Ln, Saint Joseph, MN 56374-9692 | 2006-03-01 |
| 1437142965 | Steven M. Orr | Emergency Medicine | 5301 Faraon St, Ste 250, Saint Joseph, MO 64506-3512 | 2005-08-30 |
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1922534437 | Erik Arnits | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-05-03 |
| 1659805430 | Joseph Longobardi | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-04-18 |
| 1275067480 | Marcus Fazzari | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-04-13 |
| 1508399304 | Ashley Meredith Olson | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2017-04-07 |
| 1336670876 | Michelle Wilson | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2017-03-26 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.