Wyatt Edward Showley

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

06004492A Issued in IN

Practice address

827 W 13TH St
Rochester, IN 46975-2502

Phone

(574) 223-0346

NPI assigned

Oct 6, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1174033997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W 13TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752502",
            "telephone_number": "574-223-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W 13TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752502",
            "telephone_number": "574-223-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWLEY",
        "first_name": "WYATT",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "06004492A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Shaw
• Jeffrey Sheedy, DO
• Richard Alan Shelton, BA
• Lauren Nicole Shewman, FNP-C
• Caroline Grace Sholty, BA
• Christian Taylor Singleton, DC
• Julius Salazar Sitjar, MD
• Brianna Mae Small
• Charles A Smith
• Christina Marie Soderlund, MS,CCC-SLP

• Physical Medicine & Rehabilitation Physician in Rochester, IN
• Providers in Rochester, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.