Active NPI
James Forest Wyatt, MD
- Obstetrics & Gynecology Physician
- Red Oak, IA
National Provider Identifier
1356415624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 21247
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180976 | Medicaid | IA | |
| 18097 | Other | BCBSS |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21247 | IA | MD | Obstetrics & Gynecology Physician |
| 14435 | NE | MD | Obstetrics & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.