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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1356637805 | 05 | |
TX | 345061101 | 05 | |
TX | 345061102 | 05 | |
TX | MEDICARE PTAN | 379203YLP2 | 01 |
TX | MEDICARE PTAN | 379203YLP1 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1301 W 38th St, Suit 205, Austin, TX 787051000 | 5123241864 | 5124199016 |
Street Address |
50 MARQUIS RD |
City | FREEPORT |
State | ME |
Zip Code | 04032-6477 |
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 |
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 |
Find all providers in zip 04032 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
Find all providers in FREEPORT |
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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.