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MALYNDA SUZANNE WYNN MD NPI 1164914834


NPI Information

NPI: 1164914834
Provider Name: MALYNDA SUZANNE WYNN, MD
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Individual

Specialization: Orthopaedic Trauma

PECOS Registration: Yes

Address:
1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-9400
Get Directions

Malynda Suzanne Wynn, MD is an orthopaedic trauma orthopaedic surgery in Indianapolis, IN with 6 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. Malynda Suzanne Wynn, MD NPI is 1164914834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 944-9400
Fax: (317) 963-1955

The NPI 1164914834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 11/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery01090037AINDIANANo
2207X00000XOrthopaedic SurgeryR-11213IOWANo
3207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryR-11213IOWANo
4207XX0005XOrthopaedic SurgerySports MedicineR-11213IOWANo
5207XX0801XOrthopaedic SurgeryOrthopaedic TraumaR-11213IOWANo
6207XS0106XOrthopaedic SurgeryHand SurgeryR-11213IOWANo
7207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryR-11213IOWANo
8207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineR-11213IOWANo
9207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryR-11213IOWANo
10207XX0801XOrthopaedic SurgeryOrthopaedic Trauma01090037AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1264430H73OTHERINDIANAMEDICARE PTAN
2300075533MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.