Organization Active NPI

William J. Wyatt MD PC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Cheyenne, WY
National Provider Identifier
1417261835
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
WILLIAM J. WYATT MD PC
Practice address
2232 Dell Range Blvd
Suite 206
Cheyenne, WY 82009-4941
Phone
(307) 638-8987
Fax
(307) 638-7829
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. William J Wyatt, MD
Title
Physcian
Phone
(307) 638-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X Primary

Addresses

Primary practice location

2232 Dell Range Blvd
Suite 206
Cheyenne, WY 82009-4941

Mailing address

2232 Dell Range Blvd
Suite 206
Cheyenne, WY 82009-4941
Phone (307) 638-8987

Other identifiers 1

IdentifierTypeStateIssuer
W307807OtherWYPTAN

National Provider Directory

National Provider Directory

Locations

2232 Dell Range Blvd
Ste 206
Cheyenne, WY 82009
Phone (307) 638-8987

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1417261835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD",
            "address_2": "SUITE 206",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094941",
            "telephone_number": "307-638-8987",
            "fax_number": "307-638-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD",
            "address_2": "SUITE 206",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094941",
            "telephone_number": "307-638-8987",
            "fax_number": "307-638-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. WYATT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "307-638-8987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W307807",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.