Active NPI
Richard Allen Wyatt Jr., MD
- Anesthesiology Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E-16452
- Practice address
- 378 S Pinnacle Hills Pkwy
Ste 100
Rogers, AR 72758 - Phone
- (479) 757-4772
- NPI assigned
- Mar 31, 2019
- Last updated
- May 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | E-16452 | AR | Primary |
Addresses
Primary practice location
378 S Pinnacle Hills Pkwy
Ste 100
Rogers, AR 72758
Mailing address
409 Cascade LN
Cave Springs, AR 72718-9430
Phone (501) 658-0123
Other practice location 1
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 603-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16452 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Anesthesia Solutions of Arkansas, LLC | Anesthesiology | Current | Accepting new patients |
| Arkansas Health Group | Anesthesiology | Current | Accepting new patients |
| Ans Services of Arkansas PA | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Arkansas Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Interoperability endpoints
- rwyatt48845@washingtonregional.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
-
dba Arkansas Health Group Anesthesia
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1174125876
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1679034698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 CASCADE LN",
"city": "CAVE SPRINGS",
"state": "AR",
"postal_code": "727189430",
"telephone_number": "501-658-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 S PINNACLE HILLS PKWY",
"address_2": "STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-757-4772"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 515",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-603-1656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2023-05-24",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-16452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.