Douglas F Wynne MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DOUGLAS F WYNNE MD

Practice address

2950 Squalicum Pkwy
Bellingham, WA 98225-1857

Phone

(360) 671-7100

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Wynne, MDNPI 1235222563

Title

Owner

Phone

(360) 671-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Douglas Wynne, MD

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1235222563
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457443186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251857",
            "telephone_number": "360-671-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251857",
            "telephone_number": "360-671-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS F WYNNE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-671-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1954908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Dorn-Deasy, BCBA
• Mathew Dorsch, DDS
• Kyle Gurmej Dosanjh, OD
• Mark Douglas Dotson, M.A.
• Theresa Doucette
• Douglas Madsen, MD, PLLC
• James M Douglas Jr., M.D.
• Megan Elizabeth Brown Douglas, LICSW
• Ryan R Douglas, LICSW
• Anna Lynne Dowling, M.D.

• Internal Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.