Kimberly A Wyatt (NPI# 1538490297, PAC ID# 2961530837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1538490297 |
| PAC ID by PECOS | 2961530837 |
| Professional Enrollment ID | I20100513000713 |
| Full Name | Kimberly A Wyatt |
| Organization Legal Name | DIAGNOSTIC CLINIC OF LONGVIEW |
| Address |
1009 N 4th St Longview TX 75601-4768 |
| Phone Number | 9037573808 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214016559 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1009 N 4th St, Longview, TX 75601-4768 | 9037573808 | DIAGNOSTIC CLINIC OF LONGVIEW |
| 1009 N 4th St, Suite A, Longview, TX 75601-4768 | 9037573808 | DIAGNOSTIC CLINIC OF LONGVIEW |
| Organization Legal Name | DIAGNOSTIC CLINIC OF LONGVIEW |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Stalter | Psychiatry | Diagnostic Clinic of Longview | 2904 4th St, Suite 107, Longview, TX 75605-5129 |
| Lisa J Vandiemen | Nurse Practitioner | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Elizabeth K Hutcheson | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| David W Doerrfeld | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Moyne T Kornman | Pathology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| James E Mauldin | Obstetrics/gynecology | Diagnostic Clinic of Longview | 2904 4th St, Longview, TX 75605-5129 |
| Jennifer E Roth | Nurse Practitioner | Diagnostic Clinic of Longview | 2901 4th St, Longview, TX 75605-5128 |
| Cynthia C Somers | Pediatric Medicine | Diagnostic Clinic of Longview | 1009 N 4th St, Longview, TX 75601-4768 |
| Joseph F Bianca | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Mary N Mckenzie | Nurse Practitioner | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Street Address |
1009 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-4768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina M Benefield | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Samir V Germanwala | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Theresa Martin | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Glenn Genovese | Pulmonary Disease | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Susan Rae Jones | Physician Assistant | Associated Clinicians of East Texas | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Beverly Cole Iltis | Physician Assistant | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Lynn M Brazell | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Paul B Williams | Urology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Ala Nijim | Internal Medicine | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Helen Charisse Daniel | Internal Medicine | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGVIEW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kimberly A Wyatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.