Dwight St Clair DO PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

05-24105 Issued in KS

Legal business name

DWIGHT ST CLAIR DO PA

Practice address

1148 S Hillside St
Suite 104
Wichita, KS 67211-4005

Phone

(316) 687-0006

Fax

(316) 687-0328

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dwight S St Clair, D.O.NPI 1437175254

Title

Board Certified Psychiatrist

Phone

(316) 687-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight St Clair, DO

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1437175254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1225396443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 S HILLSIDE ST",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 S HILLSIDE ST",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT ST CLAIR DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOARD CERTIFIED PSYCHIATRIST",
        "authorized_official_telephone_number": "316-687-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "05-24105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232310B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Dutton, PA-C
• Lindsay Anne Dutton, M.A. CCC-SLP
• Renee Duxler, LMSW
• Julie A Dvorak, CDE
• Dwell, LLC
• Ashley K Dwyer, APRN
• Patricia Dwyer, ARNP
• Vicki L Dwyer, ARNP
• Curtis Dyer
• Zoe Dyer

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.