P WADE WYATT MD NPI 1700082104

NPI Information

  • NPI: 1700082104
  • Provider Name: P WADE WYATT, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 4878 HIGHLAND DR
    HOLLADAY, UT
    ZIP 84117
  • Phone: (801) 272-8861

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NPI Details

P Wade Wyatt, MD is an ophthalmology in Holladay, UT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. P Wade Wyatt, MD NPI is 1700082104. 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:

4878 HIGHLAND DR
HOLLADAY, UT
ZIP 84117-007
Phone: (801) 272-8861
Fax: (801) 272-8867

The enumeration date for this NPI number is 6/22/2007 and was last updated on 9/30/2009.

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
1207W00000XOphthalmology64451081205UTAHYes

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
10618950019MEDICARE NSCUTAH
20618950005MEDICARE NSCUTAH
3000062826MEDICARE PINUTAH
4000062825MEDICARE PINUTAH
51700082104MEDICAIDUTAH
60618950003MEDICARE NSCUTAH
70618950007MEDICARE NSCUTAH
8000062820MEDICARE PINUTAH
9000062819MEDICARE PINUTAH
100618950018MEDICARE NSCUTAH
11000062815MEDICARE PINUTAH
120618950012MEDICARE NSCUTAH
13000062811MEDICARE PINUTAH
140618950016MEDICARE NSCUTAH
150618950002MEDICARE NSCUTAH
16000062824MEDICARE PINUTAH
17000062818MEDICARE PINUTAH
180618950010MEDICARE NSCUTAH
190618950009MEDICARE NSCUTAH
20000062823MEDICARE PINUTAH
210618950017MEDICARE NSCUTAH
22P00473212MEDICARE PINUTAH
23000062816MEDICARE PINUTAH
240618950014MEDICARE NSCUTAH
25000062822MEDICARE PINUTAH

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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