JULIET E WYNN (NPI# 1902233992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902233992 |
| Entity Type | Individual |
| Full Name | JULIET E WYNN |
| Credential | MD |
| Practice Address |
316 Station St Bridgeville PA 15017-1833 |
| Practice Telephone | 4122211021 |
| Mailing Telephone | 4122211021 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD073532L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
316 STATION ST |
| City | BRIDGEVILLE |
| State | PA |
| Zip Code | 15017-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336205384 | Ursula Teuter | Psychologist | 316 Station St, Bridgeville, PA 15017-1833 | 2006-12-27 |
| 1679124481 | Brenda R Voytek | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2019-09-23 |
| 1659933679 | James A Hoge | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2019-06-29 |
| 1104329085 | Shane A Kaufman | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2018-03-16 |
| 1235644147 | Nana Ama Ohenewa Beeko | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-12-14 |
| 1376057661 | Samantha Cirillo | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-11-22 |
| 1194254532 | Ashlee A Smochek | Counselor | 316 Station St, Bridgeville, PA 15017 | 2017-06-08 |
| 1003341181 | Enrico J Johnson | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-04-26 |
| 1679011514 | Justin Dzelzkalns | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-02-10 |
| 1396283552 | Christina Noysser | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689082612 | Children's Community Pediatrics | Dentist | 205 Millers Run Road, 3rd Floor, Bridgeville, PA 15017 | 2014-07-22 |
| 1578973558 | Calm Waters LLC | Community/Behavioral Health | 1840 Mayview Road, Suite 204, Pittsburgh, PA 15017 | 2014-04-30 |
| 1962753418 | Jessica Lynn Torick | Counselor | 300 Old Pond Rd Ste 201, Bridgeville, PA 15017 | 2012-09-24 |
| 1588944664 | Peter E Schmidt | Case Manager/Care Coordinator | 316 Sation St. #100, Bridgeville, PA 15017 | 2011-08-22 |
| 1912202052 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 200 Villani Drive Ste 3003, Bridgeville, PA 15017 | 2011-01-21 |
| 1427358118 | Fredrick Andrew Faust | Physical Therapy Assistant | 3564washington Pike, Bridgeville, PA 15017 | 2010-10-27 |
| 1033260120 | Allan W. Clark | Psychiatry & Neurology | South Hills Recovery Project, 850 Boyce Road Suite 2, Bridgeville, PA 15017 | 2007-01-15 |
| 1306921564 | Natalie Marie Russo | Psychologist | 316 Station Street, Bridgeville, PA 15017 | 2006-10-26 |
| 1770676496 | Scott Brenden Stephens | Pharmacist | 500 Old Pond Road, Suite 506, Bridgeville, PA 15017 | 2006-10-02 |
| 1225045115 | Louis Emil Damich Jr. | Dentist | 212 Washington Ave, Bridgeville, PA 15017 | 2006-08-02 |
| Find all providers in zip 15017 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957613 | Global Health and Recovery Services LLC | Internal Medicine | 3229 Kensington Ave, Philadelphia, PA 19134-1934 | 2019-11-19 |
| 1952946253 | Kaitlyn Renee Mackey | Internal Medicine | 33 Rollins Ln, Willow Street, PA 17584-8606 | 2019-11-10 |
| 1184177263 | Cleanslate Medical Group of Pennsylvania LLC | Internal Medicine | 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240 | 2016-07-26 |
| 1831559814 | Roxanne Rick | Internal Medicine | 2501 Mckeever St, Monongahela, PA 15063-4549 | 2016-03-03 |
| 1770960882 | Medically Assisted Recovery Services Inc | Internal Medicine | 10802 Bustleton Ave, Philadelphia, PA 19116-3302 | 2015-04-28 |
| 1013301985 | Karen Sees | Internal Medicine | 1266 Lindholm Road, Kane, PA 16735 | 2015-03-27 |
| 1144473208 | Christopher Jackson Davis | Internal Medicine | 320 Loucks Rd, Suite 103, York, PA 17404-1752 | 2008-11-02 |
| 1598937245 | James Craig Berman | Internal Medicine | 261 Standish Rd, Merion Station, PA 19066-1133 | 2008-04-01 |
| 1407027725 | Trusandra Elaine Taylor | Internal Medicine | 1745 N 4th St, Philadelphia, PA 19122-3008 | 2008-03-14 |
| 1619081726 | Bernard Amiel Harris | Internal Medicine | 2205 Bridge St, Philadelphia, PA 19137-1313 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEVILLE |
| Zip Code | 15017 |
Please comment or provide details below to improve the information on JULIET E WYNN.
| 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.