DR. DAVID T WYATT (NPI# 1770535189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770535189 |
| Entity Type | Individual |
| Full Name | DR. DAVID T WYATT |
| Credential | MD |
| Practice Address |
9000 W Wisconsin Ave Pediatric Endocrinology Milwaukee WI 53226-4874 |
| Practice Telephone | 4142666750 |
| Practice Fax Number | 4142666749 |
| Mailing Telephone | 4142666750 |
| Mailing Fax Number | 4142666749 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
26521 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUMANA | 002000139C | 01 | |
| WI | 1770535189 | 05 |
| 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 |
| 1346311677 | David A Wyatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-11-10 |
| 1780680538 | David Neal Wyatt | Family Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2005-06-27 |
| Street Address |
9000 W WISCONSIN AVE PEDIATRIC ENDOCRINOLOGY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| 1477154748 | Tara Anne Peloza | Registered Nurse | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-11-04 |
| 1518567676 | Carolyn Mcnally Scoptur | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-28 |
| 1053910091 | Casey Wolter | Audiologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-21 |
| 1558976001 | Rachel Sawdy | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-11 |
| 1205441128 | Kathleen Maloney | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-09 |
| 1992319065 | Mariia Steffeny | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-04 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1912517277 | Theresa Lauer Kapke | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-03 |
| 1003425380 | Khira Ahmed-yahia | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588615231 | Hanan M Tosson | Pediatrics | 1845 N Farwell Ave, Suite 206, Milwaukee, WI 53202-1793 | 2006-05-15 |
| 1003234782 | Alison Coren | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-03-31 |
| 1598968208 | Peter Wolfgram | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2007-06-08 |
| 1346441540 | Susanne Marie Cabrera | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2007-05-29 |
| 1154456838 | Alvina R. Kansra | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2007-02-22 |
| 1780699355 | Bethany Auble | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2006-07-30 |
| 1700890027 | Rosanna V Fiallo-scharer | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2006-07-29 |
| 1225056138 | Hanaa J. Zidan | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2006-07-18 |
| 1568402188 | Omar Ali | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2006-06-08 |
| 1083609739 | Patricia A Donohoue | Pediatrics | 9000 W Wisconsin Ave, Pediatric Endocrinology, Milwaukee, WI 53226-4874 | 2005-09-19 |
| Find all providers in MILWAUKEE | ||||
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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.