Hyatt Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HYATT MEDICAL GROUP

Practice address

1854 Broadway St
Cape Girardeau, MO 63701-4553

Phone

(573) 381-5050

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Andrew Blaine HyattNPI 1982667986

Title

Owner

Phone

(573) 381-5050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew B Hyatt, DO

  • Emergency Medicine Physician
  • Cape Girardeau, MO
  • NPI 1982667986
  Medicare reassignment NPD Authorized official
• James Thomas Main Jr., D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Cape Girardeau, MO
  • NPI 1194703017
  NPD (past)

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1457170458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014553",
            "telephone_number": "573-381-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014553",
            "telephone_number": "573-381-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYATT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-381-5050"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie L Huskey, PLPC
• Sara Michelle Hussman, RD, LD
• Bernadette Rose Huston
• Hutson Furniture Co.
• Amanda Jane Hutson
• Andrew B Hyatt, DO
• Jared McKenzy Hyler, ATC, LAT
• Immediate Convenient Care LLC
• Immediate Healthcare Kings Highway
• Immediate Healthcare, Inc.

• Primary Care Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.