DOUGLAS B WYATT (NPI# 1801809439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801809439 |
Entity Type | Individual |
Full Name | DOUGLAS B WYATT |
Credential | M.D. |
Practice Address |
3501 S Soncy Rd Ste 109 Amarillo TX 79119-6405 |
Practice Telephone | 8064672888 |
Practice Fax Number | 8064672999 |
Mailing Telephone | 8064672888 |
Mailing Fax Number | 8064672999 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2011-05-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | G9018 | TX | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G9018 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 035017501 | 05 | |
TX | BCBS OF TEXAS | 00N46H | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174094437 | Douglas B Wyatt | Physical Therapist | 40245 Grand River Ave, Novi, MI 48375-2119 | 2018-12-16 |
Street Address |
3501 S SONCY RD STE 109 |
City | AMARILLO |
State | TX |
Zip Code | 79119-6405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356649131 | Douglas B Wyatt Md Pa | Surgery | 3501 S Soncy Rd Ste 109, Suite 109, Amarillo, TX 79119-6405 | 2011-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
Find all providers in zip 79119 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
1295945152 | Matthew Bleu Schniederjan | Surgery | 1301 S Coulter St Ste 413, Amarillo, TX 79106-1763 | 2007-05-22 |
1790716348 | Dennis B Dove | Surgery | 1400 S Coulter, Amarillo, TX 79106-1786 | 2006-07-05 |
1518910512 | Jose Arias Md Pa | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2006-05-18 |
1467439885 | Richard D Dillman Jr. | Surgery | 2 Care Cir, Amarillo, TX 79124-2118 | 2005-12-28 |
1104803527 | David G Mcneir | Surgery | 2 Care Circle, Amarillo, TX 79124 | 2005-12-28 |
1073510061 | Victor Vern Hands | Surgery | 2001 Julian Blvd., Amarillo, TX 79102 | 2005-07-05 |
1073933297 | Erica Griffin Wheat | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2014-04-27 |
1902153661 | Yohey Hashimoto | Surgery | 1400 S Coulter St, Amarillo, TX 79106 | 2012-08-12 |
1912260209 | Christopher Thomas Kolze | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2012-06-21 |
Find all providers in AMARILLO |
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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.