MR. ROBERT CLYDE WYATT (NPI# 1568518694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568518694 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CLYDE WYATT |
| Credential | C.R.N.A. |
| Practice Address |
2801 Medical Center Dr Pocahontas AR 72455-9436 |
| Mailing Address |
1210 W Country Club Ter Jonesboro AR 72401-4374 |
| Practice Telephone | 8709728053 |
| Practice Fax Number | 8709728053 |
| Mailing Telephone | 8709721605 |
| Mailing Fax Number | 8709728053 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C00474 CRNA | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 915192819 | 05 | |
| AR | 115446701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1922240019 | Robert E. Wyatt | Podiatrist | 9134 Bradenton Rd, Fort Wayne, IN 46835-8892 | 2009-04-03 |
| 1629676119 | Robert J. Wyatt | Registered Nurse | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-15 |
| 1093951915 | Robert K Wyatt | Social Worker | 950 W Ironwood Dr, Suite #2, Coeur D Alene, ID 83814-2644 | 2008-12-23 |
| 1467627398 | Robert A Wyatt | Pharmacist | 2300 Baltimore Reynoldsburg Rd, Reynoldsburg, OH 43068-8030 | 2008-04-22 |
| 1912965070 | Robert J Wyatt | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| Street Address |
2801 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448066 | Randolph Emergency Group LLC | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2005-12-16 |
| 1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
| 1336793611 | Jordan Brooke Fletcher | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2019-07-25 |
| 1093054645 | Vivian Lea Brengard | Dietitian, Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2013-02-01 |
| 1376834101 | Jefferydon Lee Coon | Internal Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2011-04-27 |
| 1932401650 | Five Rivers Medical Center Inc. | Psychiatric Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1922300649 | Five Rivers Medical Center Inc. | Medicare Defined Swing Bed Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1376845099 | Five Rivers Medical Center Inc. | Radiology | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1528360989 | Five Rivers Medical Center Inc. | General Acute Care Hospital | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-11-17 |
| 1093023426 | Anna Pauletta Littleton | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455 | 2010-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124174271 | Black River Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
| 1396364030 | Caleb Casey Tolbert | Nurse Anesthetist, Certified Registered | 42 Bryson Dr, Ward, AR 72176-9639 | 2020-04-13 |
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1154818292 | Lindy Sanders Page | Nurse Anesthetist, Certified Registered | 4406 Catskill Ave, Benton, AR 72019-4906 | 2018-04-14 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on MR. ROBERT CLYDE WYATT.
| 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.