Angela Wyatt Dermatology, P.C.
NPI 1053640151ActiveOrganization· Dermatology· Flagstaff, AZ
Dermatology in Flagstaff, Arizona, registered in NPPES in December 2009. The authorized official on file is Angela Wyatt, M.D., President.
Overview
| NPI | 1053640151 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2009 |
| Last updated in NPPES | Jan 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 42581 | AZ |
| Dermatology, Dermatopathology | 207ND0900X | 42581 | AZ |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | 42581 | AZ |
| Dermatology, Pediatric Dermatology | 207NP0225X | 42581 | AZ |
| Dermatology, Procedural Dermatology | 207NS0135X | 42581 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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