PAIN MANAGEMENT OF THE OHIO VALLEY (LINDY WYATT MD LLC) NPI 1346488954

Psychiatry & Neurology (Neurology) in Mason, OH

Organization Psychiatry & Neurology Neurology

About PAIN MANAGEMENT OF THE OHIO VALLEY (LINDY WYATT MD LLC)

Pain Management Of The Ohio Valley (lindy Wyatt Md Llc) is a provider established in Mason, Ohio specializing in psychiatry & neurology. The NPI number of Pain Management Of The Ohio Valley (lindy Wyatt Md Llc) is 1346488954 and was assigned on February 2009. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Pain Management Of The Ohio Valley (lindy Wyatt Md Llc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Pain Management Of The Ohio Valley. The authorized official of this NPI record is Dr. Lindy Wyatt Md/phd (Owner)

NPI

1346488954

Provider NamePAIN MANAGEMENT OF THE OHIO VALLEY (LINDY WYATT MD LLC)
Provider Location Address6406 THORNBERRY CT SUITE 220B MASON, OH 45040
Provider Mailing AddressPO BOX 42370 CINCINNATI, OH 45242
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePAIN MANAGEMENT OF THE OHIO VALLEY
Other Name TypeOther Name (5)
Enumeration Date02-04-2009
Last Update Date03-11-2010

Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

PAIN MANAGEMENT OF THE OHIO VALLEY
6406 THORNBERRY CT
SUITE 220B
MASON, OH
ZIP 45040
Phone: (937) 672-4730
Fax: (513) 433-5475

Get Directions

Mailing Address

PAIN MANAGEMENT OF THE OHIO VALLEY
PO BOX 42370
CINCINNATI, OH
ZIP 45242
Phone: (937) 672-4730
Fax: (513) 433-5475

Authorized Official

Authorized Official NameDR. LINDY WYATT MD/PHD
Authorized Official TitleOWNER
Authorized Official Phone(937) 672-4730

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
10831537OTHER (01)
35-072489OTHER (01)OH
G58818OTHER (01)
2018579MEDICAID (05)OH
439-96-3405-00OTHER (01)OH
W10833872MEDICARE PIN (08)

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407074875DR. MANISHA R. RINALDI D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)6406 THORNBERRY CT SUITE 210
MASON, OH 45040
(513) 234-7890
1427006709 LINDY MCNABB WYATT M.D., PHD
Individual
Psychiatry & Neurology (Neurology)6406 THORNBERRY CT SUITE 220B
MASON, OH 45040
(937) 672-4730

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.