WINDY A WYATT


Address: 50 Marquis Rd, Freeport, ME 04032-6477
Phone: 2078656131

WINDY A WYATT (NPI# 1356637805) 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) 1356637805
Entity Type Individual
Full Name WINDY A WYATT
Credential DO
Practice Address 50 Marquis Rd
Freeport
ME 04032-6477
Practice Telephone 2078656131
Practice Fax Number 2078659399
Mailing Telephone 2078656131
Mailing Fax Number 2078659399
Enumeration Date 2011-06-23
Last Update Date 2019-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine DO2838 ME Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Q2088 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
ME 1356637805 05
TX 345061101 05
TX 345061102 05
TX MEDICARE PTAN 379203YLP2 01
TX MEDICARE PTAN 379203YLP1 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 W 38th St, Suit 205, Austin, TX 787051000 5123241864 5124199016

Office Location

Street Address 50 MARQUIS RD
City FREEPORT
State ME
Zip Code 04032-6477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871599456 Anna Elizabeth Davis Nurse Practitioner 50 Marquis Rd, Freeport, ME 04032-6477 2005-06-28
1619463072 Kristie Jean Murphy Nurse Practitioner 50 Marquis Rd, Freeport, ME 04032-6477 2018-07-09
1427496868 Jeremy J. Beaulieu Nurse Practitioner 50 Marquis Rd, Freeport, ME 04032 2013-06-07
1659636611 Emily P F Delldonna Registered Nurse 50 Marquis Rd, Freeport, ME 04032-6477 2012-07-05
1770868762 Alexandra Jane Barr Family Medicine 50 Marquis Rd, Freeport, ME 04032-6477 2011-10-21
1417104415 Jennifer Lynne Shaw Nurse Practitioner 50 Marquis Rd, Freeport, ME 04032-6477 2008-08-20
1558523076 Katherine J Moore Internal Medicine 50 Marquis Rd, Freeport, ME 04032 2008-06-26
1053593962 Karen E. Saylor Internal Medicine 50 Marquis Rd, Freeport, ME 04032-6477 2007-12-03
1275726341 Stephen Lee Saylor Physician Assistant 50 Marquis Rd, Freeport, ME 04032-6477 2007-08-22
1124114400 Carol Talbot Physician Assistant 50 Marquis Rd, Freeport, ME 04032-6477 2006-10-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801355920 Joyce Mary Nadeau Psychologist 4 Picnic Hill Rd, Freeport, ME 04032 2019-03-18
1689157729 Tim Spaulding Occupational Therapist Hawthorne House, 6 Old County Rd, Freeport, ME 04032 2018-09-14
1538698212 Travis Jeffery Bouchard Surgery 601 E. Hampden Ave., #220, Englewood, CA 04032 2017-06-07
1649522608 Heather Danielle Parlin Counselor 19 Hunter Rd, Freeport, ME 04032 2012-10-15
1609137843 Access Health Renewal Clinic/Center 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 2012-06-05
1942571427 Meghan Kathleen Gorchoff Counselor 13 Foggs Pt. Rd., Freeport, ME 04032 2012-01-16
1043435928 Meredith Wall Physician Assistant 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 2007-04-16
1437212990 Phoebe Snovek Prosky Social Worker 143 Flying Point Rd, Freeport, ME 04032 2006-12-18
1801955364 Kenneth Eugene Koenke Dentist 37 Bow St, Freeport, ME 04032 2006-12-08
1497851885 Kathleen Ellen Sullivan Social Worker 16 Lincoln St., Suite C, Brunswick, ME 04032 2006-09-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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
1942798707 Ibis Health Services-maine LLC Internal Medicine 140 Main St Ste 3, Freeport, ME 04032-1348 2018-04-27
1972053890 Long Island Detox Inc. Internal Medicine 157 N Bayview Ave, Freeport, NY 11520-1901 2016-10-04
1134431455 Laurie Ann Ramrattan Internal Medicine 153 Mission Road, Freeport, TRINIDAD 11111 2010-07-02
1487796850 Johnson C Chan Internal Medicine 190 W Merrick Road, Freeport, NY 11520 2007-02-13
1740208933 Scott Vincent Rankin Internal Medicine 276 Moore Ave, Freeport, NY 11520-1042 2006-07-17
1184662835 Twin Cities Primary Care, LLC Internal Medicine 479 Highway 20 E, Freeport, FL 32439-3931 2006-06-03
1538137351 Sakdidej Suwan Internal Medicine 419 Market St, Freeport, PA 16229-1121 2006-03-09
1487620803 William C Sharelis Internal Medicine 750 Kiwanis Dr, Freeport, IL 61032-7119 2006-02-25
1417920091 Sergio Gabriel Suarez Internal Medicine 72 Guy Lombardo Ave, Suite 1, Freeport, NY 11520 2006-02-13
1164494449 George Gregory Ross Internal Medicine 281 State Highway 20 E, Freeport, FL 32439-3929 2006-02-02
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Competitor

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City FREEPORT
Zip Code 04032

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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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