Individual provider Active NPI

Richard A. Wyatt, M.D.

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1912948902
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N-6335 Issued in AR
Practice address
9500 Kanis Rd
Suite 200
Little Rock, AR 72205-6324
Phone
(501) 224-6699
Fax
(501) 224-7752
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N-6335 AR Primary

Addresses

Primary practice location

9500 Kanis Rd
Suite 200
Little Rock, AR 72205-6324

Mailing address

9500 Kanis Rd
Suite 200
Little Rock, AR 72205-6324
Phone (501) 224-6699

Other identifiers 7

IdentifierTypeStateIssuer
102659001MedicaidAR
160015704OtherARRAILROAD MEDICARE
55878OtherARBCBS
862499OtherARUNITED HEALTHCARE
710619986OtherARCIGNA
114860000-00OtherARQUALCHOICE
4206569OtherARAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000608 AR Practitioner - Obstetrics/Gynecology 1759300254 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N-6335ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2021 Accepting new patients
Obhg Arkansas West PA Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 7, 2024 Accepting new patients
Arkansas Women'S Center PA Obstetrics & Gynecology CurrentSince Jan 1, 1991 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc CurrentSince May 7, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2021 Accepting new patients
DHP of Arkansas PA Obstetrics & Gynecology CurrentSince Nov 12, 2024 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince Jan 20, 2025 Accepting new patients
Baptist Health Services CurrentSince Oct 1, 2022 Accepting new patients
Obhg Arkansas, PA Obstetrics & Gynecology CurrentSince Apr 19, 2022 Accepting new patients
Baptist Health Services Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 230
Fort Smith, AR 72901
Phone (479) 709-7490

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

9500 Kanis Rd
Ste 200
Little Rock, AR 72205
Phone (501) 224-6699

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Fl Second
Little Rock, AR 72205
Phone (501) 202-6466

9501 Baptist Health Dr
Ste 800
Little Rock, AR 72205
Phone (501) 223-2080

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

Interoperability endpoints

  • Direct secure messaging: rwyatt2324@direct.baptist-healthar.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1912948902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-224-6699",
            "fax_number": "501-224-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-224-6699",
            "fax_number": "501-224-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "N-6335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102659001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160015704",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55878",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "862499",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "710619986",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "114860000-00",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4206569",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.