CHRISTOPHER C WYATT (NPI# 1649487430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649487430 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER C WYATT |
| Credential | MD |
| Practice Address |
1055 N Curtis Road S6 Boise ID 83706 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642 |
| Practice Telephone | 2083020800 |
| Practice Fax Number | 2083020855 |
| Mailing Telephone | 2083020800 |
| Mailing Fax Number | 2083020855 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD183860 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M-10687 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R-7842 | IA | Allopathic & Osteopathic Physicians |
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
M-10687 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396842951 | Christopher Kevin Wyatt | Psychiatry & Neurology | 312 S Avenue D, Burkburnett, TX 76354 | 2006-09-17 |
| 1003380916 | Christopher Wyatt | Peer Specialist | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-01-14 |
| 1689011611 | Christopher Don Wyatt | Social Worker | 23370 Road 22, Chowchilla, CA 93610-8504 | 2013-05-31 |
| 1578776100 | Christopher Ryan Wyatt | Emergency Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2007-05-08 |
| 1861613077 | Christopher H Wyatt | Anesthesiology | 1151 N. State St., Suite 311, Jackson, MS 39202 | 2007-05-02 |
| Street Address |
1055 N CURTIS ROAD S6 |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435687 | Lauren D. Bales | Obstetrics & Gynecology | 1055 N Curtis Road, Boise, ID 83706 | 2005-08-23 |
| 1285109942 | Megan F Clark | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2018-10-09 |
| 1497296768 | Carolyn Punt | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2017-03-20 |
| 1326586413 | Matthew Daniel Phillips | Physician Assistant | 1055 N Curtis Road, Boise, ID 83706 | 2017-02-08 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1790131472 | Danielle Miller | Family Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-05-11 |
| 1447612262 | Nicholas Robert Homer | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-03-22 |
| 1679941850 | Rebecca Bishop | Physician Assistant | 1055 N Curtis Road, Samg Cancer Care Center, Boise, ID 83706 | 2015-09-04 |
| 1245607662 | David Cameron Nelson | Physician Assistant | 1055 N Curtis Road, S6, Boise, ID 83706 | 2015-09-02 |
| 1649664558 | Shaye Lewis | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2015-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639190291 | Margaret Mary Doucette | Emergency Medicine | 500 W Fort St, Boise, ID 83702-4501 | 2006-07-21 |
| 1215957733 | Marlene K Olson | Emergency Medicine | 600 N Robbins Rd, Suite 100, Boise, ID 83702-4565 | 2006-07-20 |
| 1205875275 | Emergency Medicine of Idaho | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866545 | Hyperbaric Centers of Idaho | Emergency Medicine | 721 Hailey Dr, Hailey, ID 83333-8778 | 2018-10-09 |
| 1356349492 | Martha I Buitrago | Emergency Medicine | 2900 Cortez Ave, Idaho Falls, ID 83404-7554 | 2005-07-12 |
| 1386642494 | Idaho Hyperbarics Inc | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-12 |
| 1285633065 | Christopher C Shields | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| 1659370443 | Michael J Gregson | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| 1366441156 | Charles O Garrison | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
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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.