Audrea H Wynn (NPI# 1164409504, PAC ID# 1850365008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1164409504 |
| PAC ID by PECOS | 1850365008 |
| Professional Enrollment ID | I20040823001510 |
| Full Name | Audrea H Wynn |
| Organization Legal Name | SHENANDOAH MEMORIAL HOSPITAL, INC. |
| Address |
759 S Main St Woodstock VA 22664-1154 |
| Phone Number | 5404591100 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2466360375 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 491305 | SHENANDOAH MEMORIAL HOSPITAL |
| 490033 | WARREN MEMORIAL HOSPITAL |
| 490005 | WINCHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 | 5406360300 | VALLEY PHYSICIAN ENTERPRISE, INC |
| 759 S Main St, Woodstock, VA 22664-1154 | 5404591100 | SHENANDOAH MEMORIAL HOSPITAL, INC. |
| 759 S Main St, Woodstock, VA 22664-1127 | 5404591100 | VALLEY PHYSICIAN ENTERPRISE, INC |
| Organization Legal Name | SHENANDOAH MEMORIAL HOSPITAL, INC. |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystl D Willison | Neurosurgery | Shenandoah Memorial Hospital, Inc. | 9166 N Congress St, New Market, VA 22844-9422 |
| Susan C Moose | Internal Medicine | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Elisabeth Cardwell | Internal Medicine | Shenandoah Memorial Hospital, Inc. | 116 Founders Way, Suite 2, Strasburg, VA 22657-3772 |
| Dorotha C Owens | Nurse Practitioner | Shenandoah Memorial Hospital, Inc. | 5173 N Main St, Mount Jackson, VA 22842-9513 |
| Thomas Holthus | Family Medicine | Shenandoah Memorial Hospital, Inc. | 33674 Old Valley Pike, Strasburg, VA 22657-3704 |
| Stephen Edward Miller | General Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Julian E Martinez | Obstetrics/gynecology | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| John Pulizzi | General Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Jennifer See Deviers | Nurse Practitioner | Shenandoah Memorial Hospital, Inc. | 5173 N Main St, Mount Jackson, VA 22842-9513 |
| Suzanne M Stevens | Orthopedic Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Street Address |
759 S MAIN ST |
| City | WOODSTOCK |
| State | VA |
| Zip | 22664-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari Nguyen | Internal Medicine | Hospitalist Medicine Physicians of Virginia LLC | 759 S Main St, Woodstock, VA 22664-1127 |
| Stephen Edward Miller | General Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Julian E Martinez | Obstetrics/gynecology | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| John Pulizzi | General Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Guneet Sarai | Internal Medicine | Hospitalist Medicine Physicians of Virginia LLC | 759 S Main St, Woodstock, VA 22664-1127 |
| Vidya Raghavan | Hospice/palliative Care | Hospitalist Medicine Physicians of Virginia LLC | 759 S Main St, Woodstock, VA 22664-1127 |
| Suzanne M Stevens | Orthopedic Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Kenneth G Mason | General Surgery | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Gregory S Byrd | Internal Medicine | Shenandoah Memorial Hospital, Inc. | 759 S Main St, Woodstock, VA 22664-1154 |
| Edward Martin Leitz | Hospitalist | Hospitalist Medicine Physicians of Virginia LLC | 759 S Main St, Woodstock, VA 22664-1127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan C Moose | Internal Medicine | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Erik Mitchell | Orthopedic Surgery | Valley Physician Enterprise, Inc | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Kevin J Barko | Physician Assistant | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Kelly A Botta | Physician Assistant | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Thomas M Cardwell | Psychiatry | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Melissa A Lafferty | Nurse Practitioner | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Barbara P Brennan | Nurse Practitioner | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| John Charles Quinn | Cardiovascular Disease (cardiology) | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| John Hoffman | Family Practice | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Donna T Van Horn | Clinical Social Worker | Shenandoah Memorial Hospital, Inc. | 240 Shenandoah St, Woodstock, VA 22664-1051 |
| Find all physicians in zip 22664 | |||
| City | WOODSTOCK |
| Zip Code | 22664 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WOODSTOCK + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Audrea H Wynn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.