Active NPI
Darrel W Wyatt Inc
- Obstetrics & Gynecology Physician
- Palatka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
- Last updated
- Dec 2, 2014
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
700 Zeagler Dr
Suite 9
Palatka, FL 32177-6806
Mailing address
700 Zeagler Dr
Suite 9
Palatka, FL 32177-6806
Phone (386) 325-1629
National Provider Directory
National Provider DirectoryLocations
700 Zeagler Dr
Ste 9
Palatka, FL 32177
Phone (386) 325-1629
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Palatka, FL
- NPI 1639282775
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatka, FL
Sources for this page
- 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.