DR. LEWIN WYATT JR. (NPI# 1790989143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790989143 |
| Entity Type | Individual |
| Full Name | DR. LEWIN WYATT JR. |
| Credential | D.O. |
| Practice Address |
4100 W Flamingo Rd Whole Health Las Vegas NV 89103-3924 |
| Mailing Address |
6445 Sierra Diablo Ave Las Vegas NV 89130-1871 |
| Practice Telephone | 7028225000 |
| Mailing Telephone | 7023963395 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 670 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
4100 W FLAMINGO RD WHOLE HEALTH |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801905575 | Lourdes Saldi Pahuriray | Nurse Practitioner | 4100 W Flamingo Rd, Suite 2100, Las Vegas, NV 89103-3924 | 2006-08-29 |
| 1639720105 | Intercity Medical and Consulting Resources LLC | Nurse Practitioner | 4100 W Flamingo Rd, Las Vegas, NV 89103-3924 | 2019-09-25 |
| 1578008165 | Amy G Stevens | Dietitian, Registered | 4100 W Flamingo Rd, Suite 2100, Las Vegas, NV 89103-3924 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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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.