DARREL W WYATT INC (NPI# 1841697166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841697166 |
| Entity Type | Organization |
| Organization Name | DARREL W WYATT INC |
| Practice Address |
700 Zeagler Dr Suite 9 Palatka FL 32177-6806 |
| Practice Telephone | 3863251629 |
| Practice Fax Number | 3863258611 |
| Mailing Telephone | 3863251629 |
| Mailing Fax Number | 3863258611 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | DR. DARREL W WYATT (PRESIDENT) |
| Authorized Official Telephone | 3863251629 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038781900 | 05 |
| Street Address |
700 ZEAGLER DR SUITE 9 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947290 | Michael John Maggitti | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2006-01-19 |
| 1174068118 | Orlando Clinic for Asthma&respiratory Disease | Internal Medicine | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2016-12-29 |
| 1750825311 | Orlando Clinic for Asthma&respiratory Disease | Internal Medicine | 700 Zeagler Dr, Ste 6, Palatka, FL 32177-6806 | 2016-12-15 |
| 1407110042 | Pulido Internal Medicine, LLC | Internal Medicine | 700 Zeagler Dr, Suite 1, Palatka, FL 32177-6806 | 2012-06-28 |
| 1780957944 | Putnam Physician Practices, LLC | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2012-02-20 |
| 1023311727 | Ob & Gyn of N E Fl Pa | Obstetrics & Gynecology | 700 Zeagler Dr, Ste 3, Palatka, FL 32177-6806 | 2010-12-19 |
| 1023325784 | Housecall Home Health, LLC | Home Health | 700 Zeagler Dr, Suite 10, Palatka, FL 32177-6806 | 2010-09-01 |
| 1780814988 | Canaday and Jagedo Physician Associates Pl | Surgery | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2009-07-22 |
| 1629218474 | Alex Michael Pulido | Internal Medicine | 700 Zeagler Dr, Ste 1, Palatka, FL 32177-6806 | 2009-03-05 |
| 1811136633 | Kate Marie Gilrain | Physical Therapist | 700 Zeagler Dr, Palatka, FL 32177-6806 | 2009-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669678249 | Carl C Garner Jr. | Obstetrics & Gynecology | 585 W River Rd, Palatka, FL 32177-7069 | 2007-06-21 |
| 1639282775 | Darrel W Wyatt | Obstetrics & Gynecology | 700 Zeagler Dr., Suite 9, Palatka, FL 32177-6806 | 2006-08-15 |
| 1174591820 | Lucien-maximin Yanou Tchuisse | Obstetrics & Gynecology | 6100 St Johns Avenue, Suite 6, Palatka, FL 32177-6859 | 2006-03-09 |
| 1023311727 | Ob & Gyn of N E Fl Pa | Obstetrics & Gynecology | 700 Zeagler Dr, Ste 3, Palatka, FL 32177-6806 | 2010-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
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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.