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).
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 |
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 |
Street Address |
2861 BROAD AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38112-2903 |
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 |
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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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.