DR. WILLIAM JOSEPH WYATT MD NPI 1184728537

NPI Information

NPI: 1184728537
Provider Name: DR. WILLIAM JOSEPH WYATT, MD
Classification: Surgery - 2086S0122X
Specialization: Plastic and Reconstructive Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 505 S BURG ST
KIMBALL, NE
ZIP 69145
Phone: (308) 235-1951

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NPI Details

DR. William Joseph Wyatt, MD is a plastic and reconstructive surgery surgery in Kimball, NE. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. William Joseph Wyatt, MD NPI is 1184728537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

505 S BURG ST
KIMBALL, NE
ZIP 69145-313
Phone: (308) 235-1951
Fax: (308) 235-1954

The NPI 1184728537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/7/2006 and was last updated on 2/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		20963	NEBRASKA	No
2	208200000X	Plastic Surgery		6212A	WYOMING	No
3	2082S0105X	Plastic Surgery	Surgery of the Hand	6212A	WYOMING	No
4	2082S0105X	Plastic Surgery	Surgery of the Hand	20963	NEBRASKA	No
5	208600000X	Surgery		6212A	WYOMING	No
6	2086S0122X	Surgery	Plastic and Reconstructive Surgery	6212A	WYOMING	No
7	2086S0122X	Surgery	Plastic and Reconstructive Surgery	20963	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102753300	OTHER	WYOMING	WORKERS COMP
2	113999100	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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