DR. BRIAN PAUL WYNIA (NPI# 1306330980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306330980 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PAUL WYNIA |
| Credential | DO |
| Practice Address |
5122 Millwright Ct Indianapolis IN 46254-4786 |
| Mailing Address |
1130 W Michigan St Indianapolis IN 46202-5209 |
| Practice Telephone | 6053590792 |
| Mailing Telephone | 3172748282 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R11262 | IA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R11262 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RESIDENT LICENSE | 1306330980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1415 Woodland Ave Ste 140, Des Moines, IA 503093203 | 5152415995 |
| Street Address |
5122 MILLWRIGHT CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-4786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1922340439 | Ted Alexander Seltman | Radiology | 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 | 2013-03-22 |
| 1386919488 | Paul Joseph Niziolek | Radiology | 714 N Senate Ave Ste 100, Indianapolis, IN 46202 | 2012-03-21 |
| 1770862328 | Oscar Danilo Rosales | Radiology | 1001 W 10st, Wishard Hospital West Building M200, Indianapolis, IN 46202 | 2011-08-15 |
| 1326362120 | Jaimie M. Howell | Radiology | 714 N Senate Blvd., Suite 100, Indianapolis, IN 46202-3297 | 2010-03-23 |
| 1558525535 | Joel A Yalowitz | Radiology | 3907 Guilford Ave, Indianapolis, IN 46205-2827 | 2008-07-18 |
| 1891958757 | George Louis Trilikis | Radiology | 550 N University Blvd Room 0641, Dept of Radiology In University School of Medicine, Indianapolis, IN 46202 | 2008-07-09 |
| 1366604134 | Ian Wong | Radiology | 924 Fayette St, Indianapolis, IN 46202-3019 | 2008-07-01 |
| 1780845941 | Megan Beth Marine | Radiology | 550 University Blvd Rm 641, Indianapolis, IN 46202-5149 | 2008-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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| 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.