Individual provider Active NPI

James Forest Wyatt, MD

  • Obstetrics & Gynecology Physician
  • Red Oak, IA
National Provider Identifier
1356415624
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21247 Issued in IA
Practice address
1905 East Summit Street
Red Oak, IA 51566
Phone
(712) 623-5416
Fax
(712) 623-5418
NPI assigned
Nov 20, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21247 IA Primary
Obstetrics & Gynecology Physician 207V00000X 14435 NE

Addresses

Primary practice location

1905 East Summit Street
Red Oak, IA 51566

Mailing address

PO Box 460
Red Oak, IA 51566-0460
Phone (712) 623-5416

Other identifiers 2

IdentifierTypeStateIssuer
0180976MedicaidIA
18097OtherBCBSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 24, 2013 through Jan 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21247IAMDObstetrics & Gynecology Physician
14435NEMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1356415624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515660460",
            "telephone_number": "712-623-5416",
            "fax_number": "712-623-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 EAST SUMMIT STREET",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "51566",
            "telephone_number": "712-623-5416",
            "fax_number": "712-623-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JAMES",
        "middle_name": "FOREST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "21247",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "14435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180976",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSS",
            "identifier": "18097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.