DR. WYATT ROUSSEAU (NPI# 1760436935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760436935 |
| Entity Type | Individual |
| Full Name | DR. WYATT ROUSSEAU |
| Credential | M.D. |
| Practice Address |
8220 Walnut Hill Ln Suite 408 Dallas TX 75231-4427 |
| Practice Telephone | 2143619777 |
| Practice Fax Number | 2148910084 |
| Mailing Telephone | 2143619777 |
| Mailing Fax Number | 2148910084 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
D6860 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
8220 WALNUT HILL LN SUITE 408 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279027 | North Texas Pain Management | Specialist | 8220 Walnut Hill Ln, 202 Lb#98, Dallas, TX 75231-4427 | 2005-07-19 |
| 1104340694 | Christian Timothy Le | Physician Assistant | 8220 Walnut Hill Ln, Dallas, TX 75231-4427 | 2017-07-27 |
| 1073973426 | Lema Dohmanju | Registered Nurse | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2016-02-27 |
| 1063884880 | Jordan Paul Wood | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2015-10-21 |
| 1023435575 | Fadi C Constantine, M.d. P.a | Plastic Surgery | 8220 Walnut Hill Ln, Suite 206, Dallas, TX 75231-4427 | 2014-03-22 |
| 1568715514 | Charity C Mugadza | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2012-10-16 |
| 1437405776 | Cori E. Grantham, M.d., P.a. | Specialist | 8220 Walnut Hill Ln, 310, Dallas, TX 75231-4427 | 2012-07-24 |
| 1326302233 | Dallas Comprehensive Medical Care, Pllc | Internal Medicine | 8220 Walnut Hill Ln, Suite 314, Dallas, TX 75231-4427 | 2012-06-26 |
| 1629344833 | Jeffery Keith Krueger M D P A | Surgery | 8220 Walnut Hill Ln, Ste. 206, Dallas, TX 75231-4427 | 2012-04-02 |
| 1154611044 | Irwin S. Korngut Mdpa | Internal Medicine | 8220 Walnut Hill Ln, Suite 110, Dallas, TX 75231-4427 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1851739569 | Audra Jane Schwalk | Internal Medicine | 5939 Harry Hines Blvd 9th Floor, Dallas, TX 75390-0002 | 2013-06-05 |
| 1164619185 | N Kopman Do Pa | Internal Medicine | 2909 S Hampton Rd Ste C102, Dallas, TX 75224-3049 | 2007-10-03 |
| 1881888188 | Allan N Shulkin Md Pa | Internal Medicine | 7777 Forest Ln Ste B202, Dallas, TX 75230-2509 | 2007-08-29 |
| 1669692802 | Stephen Edward Mueller | Internal Medicine | 3450 W. Wheatland Rd, Pavillion II Suite 440, Dallas, TX 75237 | 2007-04-30 |
| 1952436172 | Leann Lashea Silhan | Internal Medicine | 5939 Harry Hines Bvld Prof Office Building II 9th Floor, Dallas, TX 75390-1544 | 2007-02-21 |
| 1396896189 | Howard Jeng Huang | Internal Medicine | 3410 Worth St Ste 250, Dallas, TX 75246-2073 | 2007-01-16 |
| 1679508246 | Internal & Pulmonary Clinic Md Pa | Internal Medicine | 8035 E Rl Thrtn Fwy, Suite 233, Dallas, TX 75228-7018 | 2006-07-12 |
| 1790718484 | White Rock Pulmonary Associates, P.a. | Internal Medicine | 9330 Poppy Drive, Suite #407, Dallas, TX 75218-3403 | 2006-07-08 |
| 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.