Ronald C. Wyche, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

012851 Issued in LA

Practice address

804 N Beech St
Tallulah, LA 71282-3809

Phone

(318) 574-1453

Fax

(318) 574-5876

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Contemporary Family Health Center, Inc

  • Home Health Agency
  • New Orleans, LA
  • NPI 1023156833
  NPD (past)
• Contemporory Family Health Centers, Inc.

  • Community Health Clinic/Center
  • New Orleans, LA
  • NPI 1730202110
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1457314494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-574-1453",
            "fax_number": "318-574-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-574-1453",
            "fax_number": "318-574-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHE",
        "first_name": "RONALD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "012851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173045",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Wilson, BS
• Thomasena Wilson
• Woods Silver Lining Counseling Services
• Antoinette Woods, LPC
• Vernice Wright
• William David Yerger, MPT
• Youth of Excellence of la Recreation Center

• Family Medicine Physician in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.