DR. DEIDRE WYRICK M.D.
NPI 1235454174
Surgery - Surgical Critical Care in Little Rock, AR

Q: What is Deidre Wyrick's NPI number?

The NPI number for Deidre Wyrick is 1235454174. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Q: What is Deidre Wyrick's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Deidre Wyrick was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2010PECOS Enrolled

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2022, Jul 23, 2020 (2 updates tracked since 2020).

On this page

About Dr. Deidre Wyrick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEIDRE WYRICK M.D. (NPI 1235454174) is an individual surgical critical care provider in Little Rock, Arkansas, licensed in Arkansas (E-10832) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235454174

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameDR. DEIDRE WYRICKCredential: M.D.

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1100

Fax(501) 364-4082

Sole ProprietorNo

Enumeration DateApril 4, 2010

Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1235454174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in AR · E-10832

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1 CHILDRENS WAY # 653, Little Rock, AR 72202

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deidre Wyrick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIENNE MARIE KODER

Orthopaedic Surgery