DR. RAYMOND B. WYNN MD NPI 1548216195

NPI Information

NPI: 1548216195
Provider Name: DR. RAYMOND B. WYNN, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
2500 WEST 12TH STREET
UPMC REGIONAL CANCER CENTER
ERIE, PA
ZIP 16505
Phone: (708) 635-9133
Get Directions

DR. Raymond B. Wynn, MD is a radiation oncology radiology in Erie, PA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Raymond B. Wynn, MD NPI is 1548216195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 WEST 12TH STREET
UPMC REGIONAL CANCER CENTER
ERIE, PA
ZIP 16505
Phone: (708) 635-9133

The NPI 1548216195 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 5/25/2006 and was last updated on 8/7/2020.

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
1	2085R0001X	Radiology	Radiation Oncology	036142602	ILLINOIS	Yes
2	2085R0001X	Radiology	Radiation Oncology	MD438611	PENNSYLVANIA	No

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
1	276857700	MEDICAID	FLORIDA
2	3600240	OTHER	ALABAMA	UNITED HEALTH CARE
3	51531394	OTHER	ALABAMA	BLUE CROSS
4	009934193	MEDICAID	ALABAMA
5	051542649	OTHER	ALABAMA	BCBS - ONE INFIRMARY CIRCLE
6	2117379	OTHER	PENNSYLVANIA	HIGHMARK
7	51593896	OTHER	ALABAMA	BCBS - 1660 SPRINGHILL
8	00118037	MEDICAID	MISSISSIPPI
9	1023982380001	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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