DR. AUDREY B.R. VANWYLEN


Address: 2861 Broad Ave, Memphis, TN 38112-2903
Phone: 9017012520

DR. AUDREY B.R. VANWYLEN (NPI# 1982916896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982916896
Entity Type Individual
Full Name DR. AUDREY B.R. VANWYLEN
Other Name MISS AUDREY B RICHARDSON
Credential M.D.
Practice Address 2861 Broad Ave
Memphis
TN 38112-2903
Mailing Address 2595 Central Ave
Memphis
TN 38104-5905
Practice Telephone 9017012520
Practice Fax Number 9013256469
Mailing Telephone 9012608500
Mailing Fax Number 9012608598
Enumeration Date 2010-07-08
Last Update Date 2015-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 50473 TN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 4301096247 MI Student, Health Care

Office Location

Street Address 2861 BROAD AVE
City MEMPHIS
State TN
Zip Code 38112-2903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932157260 Brent Michael Snader Internal Medicine 2861 Broad Ave, Memphis, TN 38112-2903 2006-05-05
1013531276 Anqi Zheng Student in an Organized Health Care Education/Training Program 2861 Broad Ave, Memphis, TN 38112-2903 2020-06-03
1730732645 Joy Adina Steorts Social Worker 2861 Broad Ave, Memphis, TN 38112-2903 2019-07-19
1750879599 Scott Chandler Stewart Dentist 2861 Broad Ave, Memphis, TN 38112-2903 2018-04-26
1952899973 Mark Alan Dean Dentist 2861 Broad Ave, Memphis, TN 38112-2903 2018-04-25
1144609108 Justine Rachel Johnson Obstetrics & Gynecology 2861 Broad Ave, Memphis, TN 38112-2903 2015-05-23
1629482419 Benjamin Jones Family Medicine 2861 Broad Ave, Memphis, TN 38112-2903 2014-06-19
1245659309 Brandon Todd Internal Medicine 2861 Broad Ave, Memphis, TN 38112-2903 2014-04-15
1972888352 Heather Anne Stone Nurse Practitioner 2861 Broad Ave, Memphis, TN 38112-2903 2011-10-17
1659651487 Jesse David Malott Counselor 2861 Broad Ave, Memphis, TN 38112-2903 2011-08-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316427602 Chs Tennessee Medical P C Clinic/Center 2680 Pershing Ave, Memphis, TN 38112 2018-08-16
1457688798 Ethan Martin Langston Counselor 2714 Union Extended, Suite 400, Memphis, TN 38112 2009-11-06
1033345756 Marquita Lachelle Little Counselor 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 2009-06-09
1366689481 Open Hand Trans Non-emergency Medical Transport (VAN) 2600 Poplar Avenue 325, Memphis, TN 38112 2009-01-12
1952562696 Christ Community Health Services Inc Clinic/Center 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 2008-06-24
1013117225 Yolanda Anthony-west Dentist 1045 Mullins Station Road, Memphis, TN 38112 2007-07-25
1083754634 Trillium Womancare LLC Advanced Practice Midwife 2610 Autumn Avenue, Memphis, TN 38112 2007-02-06
1013066596 Health Tech Affiliates Counselor 2670 Union Extended, Suite 610, Memphis, TN 38112 2007-01-10
1730238320 James Matthew Doyle Counselor 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 2007-01-10
1619025087 Nancy Whitman Manire Social Worker 2670 Union Ext, Suite 610, Memphis, TN 38112 2007-01-08
Find all providers in zip 38112

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568069201 Warren Hilliard Family Medicine 7625 Hwy64, 107, Memphis, TN 38133 2020-10-06
1144835539 Memphis Family Care Family Medicine 5818 Winchester Rd, Memphis, TN 38115-4711 2020-09-11
1538772868 Longmire Health Group Family Medicine 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 2020-08-26
1912526088 Sanitas Medical Center of Tennessee PC Family Medicine 1200 E Raines Rd, Suite 101, Memphis, TN 38116 2020-04-09
1508496829 Courtney Cordo Family Medicine 5901 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7328 2020-01-26
1801431499 Geriatric and Hospice Associates of The Mid South Pllc Family Medicine 6025 Walnut Grove Rd Ste 317, Memphis, TN 38120-2131 2019-11-07
1831627280 Humanity LLC Family Medicine 451 S Perkins Rd Apt 2, Memphis, TN 38117-3952 2017-05-30
1366979098 Cross Medical Primary Care Family Medicine 6222 E. Shelby Drive, Memphis, TN 38141 2017-05-12
1619403870 Cross Medical Primary Care Family Medicine 6222 East Shelby Drive, Memphis, TN 38141 2017-05-10
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38112

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Dataset Information

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.

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