Organization
LINDY WYATT MD LLC
Active
Other names
Pain Management of the Ohio Valley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDY WYATT MD/PHD (OWNER)
(937) 672-4730
Entity
Organization
Contact information
Practice address
6406 THORNBERRY CT, SUITE 220B, MASON, OH 45040-7880
(937) 672-4730
(513) 433-5475
Mailing address
PO BOX 42370, CINCINNATI, OH 45242-0370
(937) 672-4730
(513) 433-5475
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10831537
CAQH
—
05
—
2018579
—
OH
01
—
35-072489
OH LICENSE
OH
01
—
439-96-3405-00
BWC
OH
01
—
G58818
UPIN
—
Enumeration date
02/04/2009
Last updated
03/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us