Active NPI
Lindy McNabb Wyatt, M.D., PHD
- Neurology Physician
- Mason, OH
National Provider Identifier
1427006709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35-072489
- Practice address
- 6406 Thornberry CT
Suite 220B
Mason, OH 45040-7880 - Phone
- (937) 672-4730
- Fax
- (513) 433-5475
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35-072489 | OH | 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-072489 | Other | OH | OH LICENSE |
| 10831537 | Other | CAQH | |
| 2018579 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-072489 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Healthcare, Inc. | Neurology | Past | Accepting new patients |
| Clinton Memorial Hospital of Wilmington Clinton County Ohio | Past | Accepting new patients | |
| Back & Spine Center of West Chester Inc | Past | Accepting new patients | |
| Riverhills Healthcare Inc | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Chester, OH
- NPI 1336212406
-
- Home Health Agency
- Wilmington, OH
- NPI 1558414615
-
- Neurology Physician
- Cincinnati, OH
- NPI 1205943651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1427006709",
"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": {
"last_name": "WYATT",
"first_name": "LINDY",
"middle_name": "MCNABB",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35-072489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH LICENSE",
"identifier": "35-072489",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10831537",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018579",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.