RICHARD B WYATT (NPI# 1124001243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124001243 |
| Entity Type | Individual |
| Full Name | RICHARD B WYATT |
| Credential | MD |
| Practice Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
| Mailing Address |
24 N 9th St Suite A Fort Dodge IA 50501-3909 |
| Practice Telephone | 5155746742 |
| Practice Fax Number | 5155746458 |
| Mailing Telephone | 5155746742 |
| Mailing Fax Number | 5155746458 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
18949 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588008650 | Richard Dennis Wyatt | Contractor | 153 Burnham Ln, Dover, DE 19904-3830 | 2013-04-19 |
| 1568447613 | Richard M. Wyatt | Dermatology | 29b Cottage St, Amherst, MA 01002-2172 | 2005-12-13 |
| 1679034698 | Richard Allen Wyatt Jr. | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 515, Little Rock, AR 72205-7101 | 2019-03-31 |
| 1912948902 | Richard A. Wyatt | Obstetrics & Gynecology | 9500 Kanis Rd, Suite 200, Little Rock, AR 72205-6324 | 2006-06-09 |
| 1235117177 | Richard A Wyatt | Pediatrics | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2006-01-01 |
| Street Address |
802 KENYON RD |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401786 | Tammy Jo Peyton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-07-14 |
| 1467076612 | Adrianne K Peters | Pharmacist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2020-06-03 |
| 1881248490 | Andrew Doster | Nurse Anesthetist, Certified Registered | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-07-31 |
| 1417517178 | Jesseka Kaldenberg | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-06-15 |
| 1851852826 | Nicole Richelle Lee | Family Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-03-30 |
| 1073091161 | Connie Sue Fox | Registered Nurse | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-08-01 |
| 1376038067 | Allyson Croo | Nurse Practitioner | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-26 |
| 1124512744 | Philip Curtis Burton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-18 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1225546013 | Trinity Regional Medical Center | Nutritionist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617316 | Regional Pathologists, P.C. | Pathology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378749 | Nathanael Cook Christensen | Pathology | 200 Hawkins Dr Dept of Pathology, Iowa City, IA 52242-1009 | 2020-05-21 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1306165816 | Natalie Jeanne Matics | Pathology | 502 Grant St, Iowa City, IA 52240-6224 | 2010-05-24 |
| 1447485966 | Joshua Benjamin Cook | Pathology | 1212 Pleasant St., Room Ll3, Des Moines, IA 50309-0000 | 2009-05-28 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1386800589 | Alexander Ervanian | Pathology | 1607 Thornwood Rd, West Des Moines, IA 50265-5341 | 2008-08-06 |
| 1073725602 | Richard Frederick Fiester | Pathology | 5531 Hickorywood Ct, Cedar Rapids, IA 52411-8043 | 2007-05-04 |
| 1629158688 | Sara M Shunkwiler | Pathology | 431 E Locust St, Des Moines, IA 50309-1909 | 2006-10-16 |
| 1801982731 | Pathlab Ltd. | Pathology | 933 East Pierce St., Council Bluffs, IA 51503 | 2006-10-05 |
| 1467563619 | Herman Henry Graefe | Pathology | 1212 Pleasant #ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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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.