DR. KIMBERLY SUE WYATT


Address: 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579
Phone: 7722839111

DR. KIMBERLY SUE WYATT (NPI# 1326024902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326024902
Entity Type Individual
Full Name DR. KIMBERLY SUE WYATT
Credential MD
Practice Address 509 Se Riverside Dr Ste 303
Stuart
FL 34994-2579
Mailing Address Po Box 417
Stuart
FL 34995-0417
Practice Telephone 7722839111
Practice Fax Number 7727812785
Mailing Telephone 7722232832
Mailing Fax Number 7722235665
Enumeration Date 2005-12-15
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine ME121614 FL Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME121614 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 016279500 05
FL FLORIDA BLUE IBWUZ 01

Other Providers KIMBERLY WYATT

NPI Name Taxonomy Address Enumeration
1982223947 Kimberly Lashawn Wyatt Licensed Practical Nurse 180 Autumn Chapel Way, Rochester, NY 14624-5304 2020-04-10
1538492301 Kimberly Rene Wyatt Massage Therapist 3229 Broadway St Ste G, North Bend, OR 97459-2203 2009-09-11
1770116394 Kimberly Wyatt Social Worker 2600 Center St Ne, Salem, OR 97301-2669 2020-02-21
1245719079 Kimberly Wyatt Case Manager/Care Coordinator 10 Tsienneto Rd, Derry, NH 03038-1505 2018-08-13
1194269019 Kimberly Saphaire-dawn Wyatt Counselor 209 Milwaukee St, Mount Vernon, WA 98273 2016-12-12
1336579622 Kimberly Wyatt Chiropractor 1670 Mckendree Church Rd, Suite 400 B, Lawrenceville, GA 30043-4107 2013-11-22
1538490297 Kimberly Anne Wyatt Physician Assistant 707 Hollybrook Dr, Longview, TX 75605-2410 2010-01-20

Office Location

Street Address 509 SE RIVERSIDE DR STE 303
City STUART
State FL
Zip Code 34994-2579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609208545 Morgan Mathias Dembinski Physician Assistant 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 2013-08-02
1366730814 Hali Paige Burke Physician Assistant 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 2011-07-19
1134449317 Arif Ishmael Internal Medicine 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 2010-06-10
1033323092 Erika Madrigal Hoyos Internal Medicine 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 2007-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543711 Prestige Medical Billing. Inc Durable Medical Equipment & Medical Supplies 2678 Se Willoughby Blvd, Stuart, FL 34994 2019-11-27
1780229203 Katherine Ginn Occupational Therapist 809 Se Central Parkway, Stuart, FL 34994 2019-11-07
1972167294 Melissa Callaham Lcsw Social Worker 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 2019-04-23
1053881300 Spencer Perna Chiropractor 632 Se Monterey Rd., Stuart, FL 34994 2018-11-29
1720563521 National Vision Inc Technician/Technologist 2600 Southeast Federal Highway, Stuart, FL 34994 2018-09-27
1649767351 Frank Alario Md & Associates Non-Pharmacy Dispensing Site 721 South Colorado Avenue, Stuart, FL 34994 2018-04-18
1609305499 Wideline Thelemaque-claire Behavior Technician 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 2017-06-06
1316488984 Jessica Gaffney Social Worker 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 2017-03-16
1578012035 Essentials Medical Group, LLC Internal Medicine 2694 Se Willoughby Blvd, Stuart, FL 34994 2016-09-26
1356898324 Waters Edge Dermatology Global LLC Surgery 2601 S Kanner Highway, Stuart, FL 34994 2016-09-07
Find all providers in zip 34994

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669552717 Gary Joseph Guzzardo Internal Medicine 3193 Se Dixie Hwy, Stuart, FL 34997-5072 2006-10-16
1902866213 Domingo Ngo Internal Medicine 823 Se Osceola St, Stuart, FL 34994-2431 2006-03-23
1811986581 David A Elliott Internal Medicine 622 Se Central Pkwy, Stuart, FL 34994-3970 2005-10-17
1194728170 Dan G. Jacobson Internal Medicine 432 Se Osceola St, Stuart, FL 34994-2577 2005-05-24
1972818714 Domingo Tc Ngo Md Pa Internal Medicine 823 Se Osceola St, Stuart, FL 34994-2431 2010-08-17
1184951857 Dan G. Jacobson, Md, Pa Internal Medicine 432 Se Osceola St, Stuart, FL 34994-2577 2009-11-17
1942498548 Treasure Coast Health Services, Inc. Internal Medicine 622 Se Central Pkwy, Stuart, FL 34994-3970 2007-10-09
1033323092 Erika Madrigal Hoyos Internal Medicine 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 2007-05-09
1346215712 Amitabh Kumar Internal Medicine 1050 Se Monterey Rd, Suite 204, Stuart, FL 34994-4512 2006-02-21
1912972647 Gordon St Clair Baskin Internal Medicine 1050 Se Monterey Rd, Suite 204, Stuart, FL 34994-4512 2006-02-17
Find all providers in STUART

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City STUART
Zip Code 34994

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Dataset Information

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.

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