SHARON SCHROEDER WYNN M.D. NPI 1356305478

NPI Information

  • NPI: 1356305478
  • Provider Name: SHARON SCHROEDER WYNN, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7409 US 42
    FLORENCE, KY
    ZIP 41042
  • Phone: (859) 525-8181

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NPI Details

Sharon Schroeder Wynn, M.D. is an adolescent medicine pediatrics in Florence, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Sharon Schroeder Wynn, M.D. NPI is 1356305478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7409 US 42
FLORENCE, KY
ZIP 41042-905
Phone: (859) 525-8181
Fax: (859) 525-8289

The NPI 1356305478 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 4/14/2006 and was last updated on 11/3/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics35 075729OHIONo
22080A0000XPediatricsAdolescent Medicine30584KENTUCKYYes
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry30584KENTUCKYNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1311542435OTHERFEDERAL TAX ID
265932758MEDICAIDKENTUCKY
3184607OTHERKENTUCKYMEDICARE GROUP NUMBER

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: 11/21/2025

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