WYATT BOOTHBY-SHOEMAKER MD
NPI 1326781220
Dermatology in Owosso, MI
About Wyatt Boothby-shoemaker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYATT BOOTHBY-SHOEMAKER MD (NPI 1326781220) is an individual dermatology provider in Owosso, Michigan, licensed in Michigan (1326781220) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wyatt Boothby-shoemaker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48867 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wyatt Boothby-shoemaker's NPI number?
The NPI number for Wyatt Boothby-shoemaker is 1326781220. It was assigned to this individual provider in the NPPES registry on April 18, 2022.
Where is Wyatt Boothby-shoemaker located?
Wyatt Boothby-shoemaker practices at 200 Health Park Dr Ste 205, Owosso, MI 48867. The listed phone number is (989) 723-8666.
What is Wyatt Boothby-shoemaker's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Wyatt Boothby-shoemaker enrolled in Medicare?
Yes. Wyatt Boothby-shoemaker is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Wyatt Boothby-shoemaker was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.