JOHN CREEDMORE III WYATT (M.D.) – Diagnostic Radiology Physician, NPI 1871584904

JOHN CREEDMORE III WYATT (M.D.) is a healthcare provider. based in Mesquite, Texas. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. E6695 (TX). The NPI Number for JOHN CREEDMORE III WYATT (M.D.) is 1871584904

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CREEDMORE III WYATT (M.D.)
NPI
1871584904
Phone
(972) 216-4411
Address
529 N GALLOWAY AVE
Enumeration Date
28 October 2005
Last Update Date
22 September 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9724122273
Graduation Year
1976 (50 years ago)
PAC ID
4880638113
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20071116000179
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN CREEDMORE III WYATT (M.D.)

  • 529, North Galloway Avenue, Mesquite, Dallas County, Texas, 75149, United States

    SUITE 16

    MESQUITE, TX 751493420

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Location

  • PO BOX 180065

    DALLAS, TX 752180065

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75149)

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Provider's Procedures

JOHN CREEDMORE III WYATT (M.D.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views1816

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Where can patients find JOHN CREEDMORE III WYATT (M.D.)'s NPI?
You can confirm JOHN CREEDMORE III WYATT (M.D.) with NPI 1871584904; it appears in the national provider directory.
Does this profile mean JOHN CREEDMORE III WYATT (M.D.) is currently active?
Yes — JOHN CREEDMORE III WYATT (M.D.) appears active in the national provider directory.
What field does JOHN CREEDMORE III WYATT (M.D.) work in?
You can think of JOHN CREEDMORE III WYATT (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOHN CREEDMORE III WYATT (M.D.)?
We surface Mesquite, Texas for JOHN CREEDMORE III WYATT (M.D.) based on available NPPES addresses.
Is JOHN CREEDMORE III WYATT (M.D.) a real provider?
This page reflects official NPPES data for NPI 1871584904. Always confirm identity and privileges with the practice and licensing boards.

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