DR. THOMAS HARRIS WYATT M.D. NPI 1558380410

NPI Information

NPI: 1558380410
Provider Name: DR. THOMAS HARRIS WYATT, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
5571 HIGHWAY 43 NORTH
SATSUMA, AL
ZIP 36572
Phone: (251) 675-2029
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DR. Thomas Harris Wyatt, M.D. is a specialist in Satsuma, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Thomas Harris Wyatt, M.D. NPI is 1558380410. 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:

5571 HIGHWAY 43 NORTH
SATSUMA, AL
ZIP 36572-108
Phone: (251) 675-2029
Fax: (251) 675-3734

The enumeration date for this NPI number is 7/19/2006 and was last updated on 2/20/2012.

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	174400000X	Specialist		00005880	ALABAMA	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	511-16920	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD OF ALABAMA
2	D53204	MEDICARE UPIN	ALABAMA
3	102I012856	MEDICARE PIN	ALABAMA
4	051523637	OTHER		BC BS OF ALABAMA PROVIDER
5	133632	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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