Wynn Family Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101054642 Issued in VA

Legal business name

WYNN FAMILY MEDICINE, PLLC

Practice address

8316 Arlington Blvd
Suite 234
Fairfax, VA 22031-5207

Phone

(703) 560-0300

Fax

(703) 560-8679

NPI assigned

May 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alancia Christine Wynn, M.D.NPI 1952373409

Title

Managing Officer/Owner

Phone

(703) 560-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alancia Christine Wynn, M.D.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1952373409

  DC

  Medicare reassignment NPD Authorized official
• Roger Alfred Noel, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1649268434
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1144497082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 234",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-560-0300",
            "fax_number": "703-560-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 234",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-560-0300",
            "fax_number": "703-560-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "ALANCIA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING OFFICER/OWNER",
        "authorized_official_telephone_number": "703-560-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101054642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodie Christina Wuorinen
• Janet Baby Wurie, NP
• Maryann S Wyatt
• Elizabeth Anne Wyer, M.ED. CCC-SLP
• Catherine E Wymer, PHARMD
• Wynn Wellness Center LLC
• Wynn Wellness Center, LLC
• Alancia Christine Wynn, M.D.
• Harry Wilmer Wyre Jr., M.D.
• Magdalena Malgorzata Wyszogrodzka, PT

• Primary Care Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.