JULIE WYNNE (NPI# 1336115401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336115401 |
| Entity Type | Individual |
| Full Name | JULIE WYNNE |
| Credential | M.D. |
| Practice Address |
1450 S Dobson Rd Ste A200 Mesa AZ 85202 |
| Mailing Address |
500 W Hospital Rd French Camp CA 95231-9693 |
| Practice Telephone | 4806295167 |
| Practice Fax Number | 4809121068 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 40815 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
40815 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
40815 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 349220 | 05 |
| Street Address |
1450 S DOBSON RD STE A200 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312534 | John D Kizer | Surgery | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 | 2005-11-14 |
| 1871065896 | Laura Mather | Physician Assistant | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 | 2019-01-02 |
| 1194016790 | Lindsay Bartholome | Surgery | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 | 2011-04-29 |
| 1437448313 | Jeffrey C Perumean | Surgery | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 | 2011-03-31 |
| 1306042403 | Craig Szafranski | Surgery | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 | 2007-06-25 |
| 1093897506 | Jeffrey P Salomone | Surgery | 1450 S Dobson Rd Ste A200, Mesa, AZ 85202 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1316468333 | Mesa Outpatient Treatment Center LLC | Surgery | 4540 E Baseline Rd Ste 119, Mesa, AZ 85206 | 2017-06-29 |
| 1770914228 | Minimally Invasive Spine,llc | Surgery | 4860 E Baseline Rd, Suite 101, Mesa, AZ 85206-4669 | 2013-12-10 |
| 1063755973 | Kambiz Kamrani | Surgery | 6553 E Baywood Ave Ste 101, Mesa, AZ 85206-1753 | 2013-03-28 |
| 1609024017 | Robert E Leber Md PC | Surgery | 1500 S Dobson Rd Ste 312, Mesa, AZ 85202-4752 | 2008-08-28 |
| 1528246352 | Patient First Assisting LLC | Surgery | 7329 E Milagro Ave, Mesa, AZ 85209-4966 | 2008-02-04 |
| 1720186851 | Charles Michael Garner | Surgery | 6553 E Baywood Ave Ste 210, Mesa, AZ 85206-1754 | 2006-09-20 |
| 1508885575 | Steven H. Miller | Surgery | 130 S 63rd St Ste 110, Mesa, AZ 85206-1620 | 2006-07-19 |
| Find all providers in MESA | ||||
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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.