David J Wyatt, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

15788R Issued in LA

Practice address

4845 Main Street
Suite B-1
Zachary, LA 70791-5364

Phone

(225) 658-9996

Fax

(225) 658-9970

NPI assigned

Apr 18, 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

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.

• East Baton Rouge Medical Center, LLC

  • Psychiatric Hospital Unit
  • Baton Rouge, LA
  • NPI 1710076641
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1720043433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910975",
            "telephone_number": "225-658-9996",
            "fax_number": "225-658-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 MAIN STREET",
            "address_2": "SUITE B-1",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915364",
            "telephone_number": "225-658-9996",
            "fax_number": "225-658-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "15788R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473472",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunnie Wood, SPEECH LANGUAGE PATH
• Taira Lynn Woodroffe, M.D.
• James Conner Woods, DPT
• Justine R Worsham, LCSW-BACS
• Vivian Wright
• Carmen Howard Young, M.ED., CCC-SLP
• Z Dentistry LLC
• Zachary ASC Partners, LLC
• Zachary Chiropractic Clinic, Inc.
• Zachary Dental Associates, LLC

• Orthopaedic Surgery Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.