DR. MICHAEL LOUIS WYMAN (NPI# 1154371565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154371565 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LOUIS WYMAN |
| Credential | M.D. |
| Practice Address |
3500 Gaston Ave 3hob Neonatology Dallas TX 75246-2096 |
| Practice Telephone | 2148204012 |
| Practice Fax Number | 2148207757 |
| Mailing Telephone | 2148204012 |
| Mailing Fax Number | 2148207757 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
J5952 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P088E3884 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838244 | Michael Wyman | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-07-15 |
| 1245721653 | Michael Thornton Wyman | Emergency Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2018-05-21 |
| 1760459804 | Michael M Wyman | Pharmacist | 2060 W 24th St, Yuma, AZ 85364-6123 | 2006-03-08 |
| 1104824648 | Michael Bruce Wyman | Specialist | 5050 Ne Hoyt St, Suite 340, Portland, OR 97213-2991 | 2005-07-08 |
| Street Address |
3500 GASTON AVE 3HOB NEONATOLOGY |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395297 | Melanie K Flinn | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2096 | 2005-06-13 |
| 1811594690 | William C Haden Md Pllc | Internal Medicine | 3500 Gaston Ave, 4th Floor Jonsson Bl, Dallas, TX 75246-7524 | 2020-10-05 |
| 1770180705 | Rachel Elizabeth Stelzer | Nurse Anesthetist, Certified Registered | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-10-02 |
| 1366058653 | Onyinyechi Sarah Onwuelezi | Registered Nurse | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-09-22 |
| 1457962052 | Leah Amundson | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-17 |
| 1538779798 | Carrigan Lavon Belcher | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-03 |
| 1043820467 | Jenny Lee | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-08-01 |
| 1588273973 | Teena Sam | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-07-30 |
| 1588282925 | Ramy Doss | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-07-13 |
| 1053938704 | Melanie Johnson | Physical Therapist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1306266200 | Carlos A Laos, Md, Pa | Pediatrics | 25 Cochran Oaks Ln, Dallas, TX 75220-7811 | 2014-04-18 |
| 1225208028 | Julie Mirpuri-hathiramani | Pediatrics | 5323 Harry Hines Blvd # Mc9063, Suite F3.302e, Dallas, TX 75390-7208 | 2008-03-07 |
| 1104445386 | Stepheny T Stone | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-04-08 |
| 1316462203 | Kira Short | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2017-08-11 |
| 1609295070 | Kiran Natique | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-2709 | 2014-04-14 |
| 1063831782 | Alan M Klein, Md, Pa | Pediatrics | 3516 Euclid Ave, Dallas, TX 75205-3214 | 2014-04-09 |
| 1376986315 | Kshiti Dinesh Shah | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2013-04-09 |
| 1790051480 | Natalia Vasco Abbey | Pediatrics | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2012-03-27 |
| 1720354475 | Abigail Marie Patterson | Pediatrics | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2012-03-27 |
| 1003180100 | Jawahar Jagarapu | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2012-03-07 |
| Find all providers in DALLAS | ||||
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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.