Katie M Wyatt (NPI# 1114288891, PAC ID# 5395994677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114288891 |
| PAC ID by PECOS | 5395994677 |
| Professional Enrollment ID | I20121002000084 |
| Full Name | Katie M Wyatt |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE OF TWIN FALLS PA |
| Address |
243 Cheney Dr W Suite 200 Twin Falls ID 83301-3721 |
| Phone Number | 2087367422 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143460717 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 | 2087367422 | PHYSICIANS IMMEDIATE CARE OF TWIN FALLS PA |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE OF TWIN FALLS PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy B Haymore | Emergency Medicine | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Brandon D Pope | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jeremy D Willes | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jonathan B Pittard | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jesse G Bradshaw | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Samantha Ruth Davis | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Street Address |
243 CHENEY DR W SUITE 200 |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-3721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy B Haymore | Emergency Medicine | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Brandon D Pope | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jeremy D Willes | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jonathan B Pittard | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Jesse G Bradshaw | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Samantha Ruth Davis | Physician Assistant | Physicians Immediate Care of Twin Falls Pa | 243 Cheney Dr W, Suite 200, Twin Falls, ID 83301-3721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TWIN FALLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katie M 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.