Phillip A Wynn (NPI# 1184821332, PAC ID# 3173650355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1184821332 |
| PAC ID by PECOS | 3173650355 |
| Professional Enrollment ID | I20100915000052 |
| Full Name | Phillip A Wynn |
| Organization Legal Name | RIDGELINE EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Address |
18300 Roscoe Blvd Northridge CA 91325-4105 |
| Phone Number | 8188855396 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0345521613 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050116 | NORTHRIDGE HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 8188855396 | RIDGELINE EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Organization Legal Name | RIDGELINE EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary K Halpern | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Jennifer R Ranchez | Nurse Practitioner | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Carla Mae M Cuisia | Nurse Practitioner | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Romik Zadorian | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Philippe F Louissaint | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Alfred M Pascual | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Matthew S Hendrickson | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Casey R Galicia | Physician Assistant | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Mojdeh Toomarian | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Daniel Kijner | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Street Address |
18300 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip | 91325-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary K Halpern | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Jennifer R Ranchez | Nurse Practitioner | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Rana Fattahi | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Carla Mae M Cuisia | Nurse Practitioner | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Romik Zadorian | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Sarabjit S Bedi | Anesthesiology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | |
| Jeremy I Grosser | Internal Medicine | 18300 Roscoe Blvd, Northridge, CA 91328 | |
| Matthew P Bral | Anesthesiology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | |
| Steven E Cantamout | Anesthesiology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | |
| Philippe F Louissaint | Emergency Medicine | Ridgeline Emergency Physicians Medical Group, Inc. | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher G Chow | Internal Medicine | 17650 Devonshire St, Northridge, CA 91325-1445 | |
| Richard Gollance | Clinical Social Worker | 17650 Devonshire St, Northridge, CA 91325-1445 | |
| Russell Warr | Chiropractic | 18417 Nordhoff St, Suite C, Northridge, CA 91325-2275 | |
| Michael S Frisch | Optometry | 9036 Balboa Blvd, Northridge, CA 91325-2610 | |
| Brent T Trompetto | Internal Medicine | Regal Medical Group, Inc. | 8510 Balboa Blvd, Suite 275, Northridge, CA 91325-3581 |
| Maogang Shao | Internal Medicine | Regal Medical Group, Inc. | 8510 Balboa Blvd, Suite 275, Northridge, CA 91325-3581 |
| Lori Ann Rodriguez | Physician Assistant | Regal Medical Group, Inc. | 8510 Balboa Blvd, Northridge, CA 91325-3581 |
| Johnny R Harrison | Anesthesiology | 18330 Roscoe Blvd, Northridge, CA 91325-4105 | |
| Irena Bauman | Anesthesiology | 18300 Roscoe Blvd D, Northridge, CA 91325-4105 | |
| Ryan Franke | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 18300 Roscoe Blvd, Northridge, CA 91325-4105 |
| Find all physicians in zip 91325 | |||
| City | NORTHRIDGE |
| Zip Code | 91325 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NORTHRIDGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Phillip A Wynn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.