DR. JOHN D WYNN (NPI# 1780638031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780638031 |
| Entity Type | Individual |
| Full Name | DR. JOHN D WYNN |
| Credential | MD |
| Practice Address |
1221 Madison St Seattle WA 98104-3588 |
| Mailing Address |
1120 Cherry St Suite 240 Seattle WA 98104-2020 |
| Practice Telephone | 2063862323 |
| Practice Fax Number | 2063862729 |
| Mailing Telephone | 2066240296 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00027945 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00027945 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801398086 | John Thomas Wynn II | Nurse Practitioner | 550 Peachtree St Ne Frnt 3245a, Atlanta, GA 30308-2212 | 2018-03-05 |
| 1255308102 | John R Wynn | Pediatrics | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-02-28 |
| Street Address |
1221 MADISON ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943646 | Joseph Christopher Sniezek | Otolaryngology | 1221 Madison St, Suite 1523, Seattle, WA 98104-3588 | 2005-12-20 |
| 1588040018 | Sherry Mae Ancheta | Genetic Counselor, MS | 1221 Madison St, Seattle, WA 98104-3588 | 2015-08-06 |
| 1861801201 | Heather M Holdread | Nurse Practitioner | 1221 Madison St, Fl 4, Seattle, WA 98104-3588 | 2014-08-11 |
| 1477988509 | Swedish Health Services | Pharmacy | 1221 Madison St, 3rd Floor, Ste 03ar34, Seattle, WA 98104 | 2013-09-09 |
| 1154667863 | Joel D. Lilly, Md Ps | Specialist | 1221 Madison St, Suite 1210, Seattle, WA 98104-3588 | 2012-12-27 |
| 1750650289 | Gene Anne Holtzman | Nurse Practitioner | 1221 Madison St, #1220, Seattle, WA 98104-3588 | 2011-12-29 |
| 1205116860 | Carolyn Rachel Anderson | Nurse Practitioner | 1221 Madison St, Suite 1220, Seattle, WA 98104-3588 | 2011-08-26 |
| 1568791770 | James P. Gasparich, Md, Ps | Urology | 1221 Madison St, Suite 1210, Seattle, WA 98104-3588 | 2009-12-17 |
| 1346484821 | Krish Patel | Internal Medicine | 1221 Madison St, Ste 1020, Seattle, WA 98104-3588 | 2009-04-28 |
| 1184865198 | Seattle Urological Associates, Pllc | Urology | 1221 Madison St, #1210, Seattle, WA 98104-3588 | 2009-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1215420963 | Jacob Markovitz Md Ps | Psychiatry & Neurology | 2208 Nw Market St Ste 501, Seattle, WA 98107-4098 | 2018-06-07 |
| 1972018042 | Amy Mok | Psychiatry & Neurology | 359 Nw 47th St, Seattle, WA 98107-4446 | 2017-12-11 |
| 1003279464 | Monica Kristin Samelson | Psychiatry & Neurology | 1613 E Alder St, Seattle, WA 98122-5622 | 2016-04-03 |
| 1891151031 | Joseph Doumit, Md, Pllc | Psychiatry & Neurology | 625 32nd Ave, Seattle, WA 98122-6335 | 2016-01-04 |
| 1780071415 | Matthew William Mackinnon | Psychiatry & Neurology | 800 5th Ave Ste 900, Seattle, WA 98104-3176 | 2015-04-21 |
| 1063800282 | Pacific Center for Neurostimulation, Pllc | Psychiatry & Neurology | 10740 Meridian Ave N Ste 205, Seattle, WA 98133-9010 | 2014-12-23 |
| 1447662531 | Jason Lee Garner | Psychiatry & Neurology | 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, WA 98105-3901 | 2014-05-23 |
| 1659791770 | Reza Hosseini Ghomi | Psychiatry & Neurology | 1959 Ne Pacific St Psychiatry Residency Program, Box 356560, Seattle, WA 98195-6560 | 2014-04-16 |
| 1891127643 | Johanna Landinez | Psychiatry & Neurology | 310 15th Ave E Bldg 4th, Seattle, WA 98112 | 2013-08-04 |
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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.