Darrel W Wyatt Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DARREL W WYATT INC

Practice address

700 Zeagler Dr
Suite 9
Palatka, FL 32177-6806

Phone

(386) 325-1629

Fax

(386) 325-8611

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Darrel W Wyatt, MD

Title

President

Phone

(386) 325-1629

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1841697166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR",
            "address_2": "SUITE 9",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776806",
            "telephone_number": "386-325-1629",
            "fax_number": "386-325-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR",
            "address_2": "SUITE 9",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776806",
            "telephone_number": "386-325-1629",
            "fax_number": "386-325-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREL W WYATT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-325-1629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038781900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela M. Curry, L.M.H.C.
• Brandi Rae Curtis, NP-C
• Helen Louise Curtis, RD LDN CDE
• D & J Care LLC
• D S Miles D P M P a
• James L Davis, HIS
• Shawn A Davis, H.I.S.
• Robert De la Torre, MD
• Lashama Elijah-Young Dejesus, RN
• Miguel Dejuk, M.D.

• Obstetrics & Gynecology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.