DR. WYNNE BREED (NPI# 1013359322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013359322 |
| Entity Type | Individual |
| Full Name | DR. WYNNE BREED |
| Credential | M.D. |
| Practice Address |
5755 Cedar Ln Columbia MD 21044 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4107407777 |
| Practice Fax Number | 4107407551 |
| Mailing Telephone | 4109336423 |
| Mailing Fax Number | 4109331390 |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D81855 | MD | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 291304 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A134748 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5755 CEDAR LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539421 | Melinda Ellen Kantsiper | Internal Medicine | 5755 Cedar Ln, Howard County General Hospital -cims, Columbia, MD 21044-2912 | 2005-06-22 |
| 1194322636 | Stephanie Jenkins | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-10-07 |
| 1578177226 | Kristin Ann Lederman | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
| 1821602582 | Kristen Lee Self | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
| 1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
| 1619515442 | Nikitta Dhillon | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-12-11 |
| 1760025985 | Yande Cheng | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2019-10-21 |
| 1073155586 | Dipal Patel | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-16 |
| 1861034159 | Charles Wangui | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-08 |
| 1972153849 | Rebeccah W Depp | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1639542202 | Doctors Care Sc, Pa | Emergency Medicine | 1538 Main St, Columbia, SC 29201-2808 | 2015-11-04 |
| 1548649627 | Brian Edward Snyder | Emergency Medicine | 14 Medical Park, Ste 350 Emergency Medicine Department, Columbia, SC 29203 | 2015-05-22 |
| 1447664974 | Christopher Daniel Kohls | Emergency Medicine | 14 Medical Park Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-06-12 |
| 1407268113 | James Fallin | Emergency Medicine | 14 Medical Park, Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-05-29 |
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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.