Active NPI
Kathy L Wyant, M.D.
- Diagnostic Radiology Physician
- Norman, OK
National Provider Identifier
1497738629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13872
- Practice address
- 1125 N Porter
Suite 100
Norman, OK 73071-6446 - Phone
- (405) 364-1071
- NPI assigned
- Nov 22, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13872 | OK | Primary |
Addresses
Primary practice location
1125 N Porter
Suite 100
Norman, OK 73071-6446
Mailing address
PO Box 1387
1125 N. Porter, Suite 100
Norman, OK 73070-1387
Phone (405) 364-1071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124550A | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13872 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Radiology Services, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Southeastern Radiology P.C. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Norman, OK
- NPI 1326039645
-
- Diagnostic Radiology Physician
- McAlester, OK
- NPI 1467435693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1497738629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1387",
"address_2": "1125 N. PORTER, SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701387",
"telephone_number": "405-364-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N PORTER",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716446",
"telephone_number": "405-364-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYANT",
"first_name": "KATHY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "13872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124550A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.