MR. HENRY THOMAS WYNN JR.


Address: Sinai Cardiovascular Faculty Group Practice, 5051 Greenspring Ave. Suite 304, Baltimore, MD 21209
Phone: 1060177904

MR. HENRY THOMAS WYNN JR. (NPI# 1053353805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053353805
Entity Type Individual
Full Name MR. HENRY THOMAS WYNN JR.
Credential PA-C
Practice Address Sinai Cardiovascular Faculty Group Practice
5051 Greenspring Ave. Suite 304
Baltimore
MD 21209
Practice Telephone 1060177904
Practice Fax Number 4106018704
Mailing Telephone 1060177904
Mailing Fax Number 4106018704
Enumeration Date 2006-06-12
Last Update Date 2020-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C00420 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers HENRY WYNN

NPI Name Taxonomy Address Enumeration
1679816102 Henry Gordon Wynn Iv Ophthalmology 909 Ridgeway Loop Rd, Memphis, TN 38120-4016 2013-04-03

Office Location

Street Address SINAI CARDIOVASCULAR FACULTY GROUP PRACTICE
5051 GREENSPRING AVE. SUITE 304
City BALTIMORE
State MD
Zip Code 21209

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1447701958 Yuliya Shmyga Fischer Physician Assistant 345 St Paul Pl, Baltimore, MD 21202-1937 2016-10-19
1851845655 Tamarah Thompson Physician Assistant 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 2016-08-09
1194194449 Alexzandra Kristyna Briedis Physician Assistant 1311 Olive St, Baltimore, MD 21230-4255 2015-09-16
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Competitor

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City BALTIMORE
Zip Code 21209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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