Individual provider Active NPI

Patrick J Wynnyk, M.D.

  • Emergency Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1194775742
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101840503 Issued in VA
Practice address
1901 Tate Springs Rd
Emergency Dept.
Lynchburg, VA 24501-1109
Phone
(434) 947-3027
Fax
(434) 947-3265
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101840503 VA Primary
Internal Medicine Physician 207R00000X 0101840503 VA

Addresses

Primary practice location

1901 Tate Springs Rd
Emergency Dept.
Lynchburg, VA 24501-1109

Mailing address

PO Box 2080
Kilmarnock, VA 22482-2080
Phone (804) 435-3508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070326000449 VA Practitioner - Emergency Medicine 3274637566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101840503VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients

Locations

1615 Oakwood St
Ste D
Bedford, VA 24523
Phone (540) 586-3089

1615 Oakwood St
Ste B
Bedford, VA 24523
Phone (540) 586-3089

2025 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-2900

2512 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 528-2194

2010 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-3656

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1194775742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822080",
            "telephone_number": "804-435-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TATE SPRINGS RD",
            "address_2": "EMERGENCY DEPT.",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011109",
            "telephone_number": "434-947-3027",
            "fax_number": "434-947-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNYK",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101840503",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101840503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.