ERIC WYATT MD – NPI #1417007139
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

ERIC WYATT is a dermatologist located in LAWTON, OK. NPPES has assigned the NPI number 1417007139 to ERIC WYATT on January 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 8 years ago on Sep 09, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERIC WYATT below.

NPI Profile for
ERIC WYATT

NPI Number
1417007139
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ERIC WYATT
Credentials
MD
Primary location
104 NW 31ST ST
LAWTON, OK 73505-6100
Phone: (580) 536-2121 Fax: (580) 250-5183
1 Other location(s):
3400 NW Expressway St
Suite 440
Oklahoma City, OK 73112-4493
Phone: (405) 945-4250
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 OK 19537

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE - Graduated 1994
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ERIC WYATT is affiliated with the following medical group(s):
  • HOSPITAL
    • COMANCHE COUNTY MEMORIAL HOSPITAL
      3401 WEST GORE BLVD
      LAWTON, OK 73505

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