Organization Active NPI

Lindy Wyatt MD LLC

  • Neurology Physician
  • Mason, OH
National Provider Identifier
1346488954
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Lindy Wyatt, MD/PHDNPI 1427006709
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10831537OtherCAQH
G58818OtherUPIN
439-96-3405-00OtherOHBWC
2018579MedicaidOH
35-072489OtherOHOH LICENSE

Other names 1

  • Pain Management of the Ohio Valley Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.