Organization Active NPI

Douglas B Wyatt MD PA

  • Surgery Physician
  • Amarillo, TX
National Provider Identifier
1356649131
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G9018 Issued in TX
Legal business name
DOUGLAS B WYATT MD PA
Practice address
3501 S Soncy Rd Ste 109
Suite 109
Amarillo, TX 79119-6405
Phone
(806) 467-2888
Fax
(806) 467-2999
NPI assigned
Mar 3, 2011
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Douglas B Wyatt, M.D.NPI 1801809439
Title
Medical Doctor, General Surgeon
Phone
(806) 467-2888

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
Surgery Physician 208600000X G9018 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 109
Suite 109
Amarillo, TX 79119-6405

Mailing address

3501 S Soncy Rd
Suite 109
Amarillo, TX 79119-6407
Phone (806) 467-2888

National Provider Directory

National Provider Directory

Locations

3501 S Soncy Rd
Ste 109
Amarillo, TX 79119
Phone (806) 467-2888

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1356649131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 109",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-467-2888",
            "fax_number": "806-467-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 109",
            "address_2": "SUITE 109",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-467-2888",
            "fax_number": "806-467-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B WYATT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DOCTOR, GENERAL SURGEON",
        "authorized_official_telephone_number": "806-467-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.