Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger Wyatt, MD

Individual provider Family Medicine Physician · NPI 1326305004

Roger Wyatt, MD is a Family Practice in Caldwell, Idaho. Qualified in 2012, 14 years ago. Practices with Direct Doctor Care PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
14
Licensed in
AZ, ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

315 E Elm St Ste 100
Caldwell, ID 83605
Phone: (208) 302-7100
Fax: (208) 302-7155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-12951 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence R73187 (AZ)

Record details

NPI number1326305004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESDecember 5, 2016
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Direct Doctor Care Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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