Niki S Lewis Wyatt (NPI# 1922008572, PAC ID# 1355337981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922008572 |
| PAC ID by PECOS | 1355337981 |
| Professional Enrollment ID | I20040421000376 |
| Full Name | Niki S Lewis Wyatt |
| Organization Legal Name | INTEGRIS RURAL HEALTH INC |
| Address |
221 S Grand Ave Cherokee OK 73728-2029 |
| Phone Number | 5805963516 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678529104 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370016 | INTEGRIS BASS BAPTIST HEALTH CENTER |
| 370026 | ST MARY'S REGIONAL MEDICAL CENTER |
| 370080 | SHARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 221 S Grand Ave, Cherokee, OK 73728-2029 | 5805963516 | INTEGRIS RURAL HEALTH INC |
| Organization Legal Name | INTEGRIS RURAL HEALTH INC |
| Physicians | 1 |
| Street Address |
221 S GRAND AVE |
| City | CHEROKEE |
| State | OK |
| Zip | 73728-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alea Nicole Rogers | Nurse Practitioner | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Shannon Richelle Jamerson | Nurse Practitioner | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Taylor Renea Carson | Physician Assistant | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Linda Kay Mcmurphy | Internal Medicine | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Amanda J Partridge | Physician Assistant | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Sydney Holland | Physician Assistant | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Tobi Bratten | Nurse Practitioner | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Lindsay Garinger | Nurse Practitioner | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Luke-hieu Quang Nguyen | Oral Surgery | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Amanda Leigh John | Physician Assistant | Great Salt Plains Health Center Inc | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 |
| Find all physicians in zip 73728 | |||
| City | CHEROKEE |
| Zip Code | 73728 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHEROKEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Niki S Lewis Wyatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.