Active NPI
Lindy Wyatt MD LLC
- Neurology Physician
- Mason, OH
National Provider Identifier
1346488954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- LINDY WYATT MD LLC
- Practice address
- 6406 Thornberry CT
Suite 220B
Mason, OH 45040-7880 - Phone
- (937) 672-4730
- Fax
- (513) 433-5475
- NPI assigned
- Feb 4, 2009
- Last updated
- Mar 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindy Wyatt, MD/PHD
- Title
- Owner
- Phone
- (937) 672-4730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
6406 Thornberry CT
Suite 220B
Mason, OH 45040-7880
Mailing address
PO Box 42370
Cincinnati, OH 45242-0370
Phone (937) 672-4730
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10831537 | Other | CAQH | |
| G58818 | Other | UPIN | |
| 439-96-3405-00 | Other | OH | BWC |
| 2018579 | Medicaid | OH | |
| 35-072489 | Other | OH | OH LICENSE |
Other names 1
- Pain Management of the Ohio Valley
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Mason, OH
- NPI 1427006709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1346488954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42370",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452420370",
"telephone_number": "937-672-4730",
"fax_number": "513-433-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6406 THORNBERRY CT",
"address_2": "SUITE 220B",
"city": "MASON",
"state": "OH",
"postal_code": "450407880",
"telephone_number": "937-672-4730",
"fax_number": "513-433-5475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDY WYATT MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "WYATT",
"authorized_official_first_name": "LINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-672-4730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD/PHD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10831537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G58818",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "439-96-3405-00",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018579",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH LICENSE",
"identifier": "35-072489",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Management of the Ohio Valley",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mason, OH
- Lesley R Lindahl, LISW
- Jennifer Lynn Lindeman, MA, LPC
- Lindner Center Medical Associates, LLC
- Lindner Center of Hope Professional Associates
- Lindner Center Professional Associates
- Timothy James Linker, M.D.
- Kara C Little Whiteley, LPN
- Justin Little
- Laurie B Little, LIC. PSYCHOLOGIST
- Lori Little, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.