HENRY GORDON WYNN IV (NPI# 1679816102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679816102 |
| Entity Type | Individual |
| Full Name | HENRY GORDON WYNN IV |
| Credential | M.D. |
| Practice Address |
909 Ridgeway Loop Rd Memphis TN 38120-4016 |
| Practice Telephone | (901) 683-1112 |
| Mailing Telephone | 9016831112 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 55416 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 381630001 | 9014485814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053353805 | Henry Thomas Wynn Jr. | Physician Assistant | Sinai Cardiovascular Faculty Group Practice, 5051 Greenspring Ave. Suite 304, Baltimore, MD 21209 | 2006-06-12 |
| Street Address |
909 RIDGEWAY LOOP RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922118892 | Joseph Perry Rowland Jr. | Ophthalmology | 909 Ridgeway Loop Rd, Memphis, TN 38120-4016 | 2006-08-30 |
| 1720264468 | Passons Eye Center, P.l.l.c. | Optometrist | 909 Ridgeway Loop Rd, Memphis, TN 38120-4016 | 2008-01-11 |
| 1316166507 | James Robert Echols II | Ophthalmology | 909 Ridgeway Loop Rd, Memphis, TN 38120-4016 | 2007-04-25 |
| 1689784985 | Gary Allen Passons | Ophthalmology | 909 Ridgeway Loop Rd, Memphis, TN 38120-4016 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447606454 | Stephen Dryden | Ophthalmology | 930 Madison Ave Ste 470, Memphis, TN 38103-7400 | 2016-05-09 |
| 1609185891 | Duncan Eye Pllc | Ophthalmology | 653 S Willett St, Memphis, TN 38104-4932 | 2010-10-05 |
| 1275842197 | Kathleen Shirley Stern | Ophthalmology | 655 S Riverside Dr Apt 1103, Memphis, TN 38103-4615 | 2010-09-27 |
| 1083865232 | Memphis Retina Pllc | Ophthalmology | 1264 Wesley Dr Ste 302, Memphis, TN 38116-6445 | 2008-10-07 |
| 1205021227 | Clifford W Sims Md PC | Ophthalmology | 1407 Union Ave Ste 1003, Memphis, TN 38104-3678 | 2007-09-12 |
| 1235335118 | Shiva Bohn | Ophthalmology | 930 Madison Ave #400, Memphis, TN 38103 | 2007-06-26 |
| 1578684007 | Philip Marvin Furr | Ophthalmology | 555 Perkins Ext, Ste 430, Memphis, TN 38117-4410 | 2007-04-02 |
| 1538216239 | William C Hurd | Ophthalmology | 220 S Claybrook St Ste 101, Memphis, TN 38104-3538 | 2007-01-04 |
| 1023170925 | Clifford William Sims | Ophthalmology | 1407 Union Ave Ste 901, Memphis, TN 38104-3672 | 2006-12-15 |
| 1487724498 | Thomas Pratt | Ophthalmology | 5169 Wheelis Dr, Memphis, TN 38117-4519 | 2006-11-08 |
| Find all providers in MEMPHIS | ||||
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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.