DR. KENNETH ELLIOT WYATT (NPI# 1053674036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053674036 |
Entity Type | Individual |
Full Name | DR. KENNETH ELLIOT WYATT |
Credential | D.O. |
Practice Address |
215 W Bowery St Akron OH 44308-1069 |
Practice Telephone | 3305438410 |
Mailing Telephone | 3305438410 |
Enumeration Date | 2012-06-24 |
Last Update Date | 2015-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 011737 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770128761 | Kenneth Wyatt | Behavior Technician | 1050 Fulton Ave Ste 230, Sacramento, CA 95825-4299 | 2019-11-13 |
1891845178 | Kenneth N Wyatt | Pediatrics | 262 New Shackle Island Rd, Suite 203, Hendersonville, TN 37075-2489 | 2007-01-11 |
1295806461 | Kenneth Robert Wyatt | Dentist | 285 Elm St, Suite 200, Cumming, GA 30040-8233 | 2006-11-10 |
Street Address |
215 W BOWERY ST |
City | AKRON |
State | OH |
Zip Code | 44308-1069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457330730 | Ravi M Karnani | Allergy & Immunology | 215 W Bowery St, Suite 4500, Akron, OH 44308-1069 | 2006-01-13 |
1235743568 | Meghan Elizabeth Rozumny | Counselor | 215 W Bowery St, Akron, OH 44308-1069 | 2020-09-03 |
1912519166 | Natalie Lukasewski | Nurse Practitioner | 215 W Bowery St, Akron, OH 44308-1069 | 2020-08-19 |
1174133581 | Ashley Gasser | Nurse Practitioner | 215 W Bowery St, Akron, OH 44308-1069 | 2020-07-31 |
1639787286 | Megan Lynne Di Salvo | Nurse Practitioner | 215 W Bowery St, Akron, OH 44308-1069 | 2020-07-20 |
1073141479 | Jashan Jabbaar | Student in an Organized Health Care Education/Training Program | 215 W Bowery St, Akron, OH 44308-1069 | 2020-03-31 |
1275161275 | Mackenzie R Keegan | Student in an Organized Health Care Education/Training Program | 215 W Bowery St, Akron, OH 44308-1069 | 2020-03-27 |
1720615966 | Sapna Khemka | Student in an Organized Health Care Education/Training Program | 215 W Bowery St, Akron, OH 44308-1069 | 2020-03-26 |
1558893990 | Laura Elizabeth Lach | Student in an Organized Health Care Education/Training Program | 215 W Bowery St, Akron, OH 44308-1069 | 2017-04-03 |
1366701674 | Katherine Elizabeth Krepkovich | Genetic Counselor, MS | 215 W Bowery St, Suite 5500, Akron, OH 44308-1069 | 2012-05-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
Find all providers in zip 44308 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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/certificatio - 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 |
---|---|---|---|---|
1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
1568730158 | Laurice Renee Moore | Pediatrics | 1583 Pebblecreek Dr, Akron, OH 44333-4713 | 2011-12-09 |
1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
1861638538 | Joel R Davidson | Pediatrics | One Perkins Sq., Locust Pediatric Care Group, Akron Children's Hospital, Akron, OH 44308-1062 | 2008-12-30 |
1295858314 | Maryann C. May | Pediatrics | 66 Merriman Rd, Akron, OH 44303-1853 | 2007-04-06 |
1316001548 | Paul D Schuh | Pediatrics | 676 S Broadway St Ste 103, Akron, OH 44311-1059 | 2006-12-21 |
1437174737 | Michael A Delucia | Pediatrics | 1463 Canton Rd Ste A, Akron, OH 44312-4022 | 2006-07-13 |
1477586261 | Melisa A Carmichael | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2006-07-08 |
1528005014 | Amira E Mustafa | Pediatrics | 1600 E Turkeyfoot Lake Rd, Akron, OH 44312-5365 | 2006-06-01 |
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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.