Individual provider Active NPI

Wayne Hamilton Dunn, MD

  • Ophthalmology Physician
  • Phila, PA
National Provider Identifier
1669472114
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
064225L Issued in PA
Practice address
1726 S Broad St
Ste 101
Phila, PA 19145-2300
Phone
(215) 463-3400
Fax
(215) 463-3408
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 064225L PA Primary

Addresses

Primary practice location

1726 S Broad St
Ste 101
Phila, PA 19145-2300

Mailing address

1726 S Broad St
Ste 101
Phila, PA 19145-2300
Phone (215) 463-3400

Other identifiers 1

IdentifierTypeStateIssuer
01718830MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050609000333 PA Practitioner - Ophthalmology 5799728861 Reassigns benefits to 1 organization
I20110518000682 DE Practitioner - Ophthalmology 5799728861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schneider,Goldstein Andsivitz AssocGroup PAC ID 7315935541, 3 clinicians
Advanced Eye Care P aGroup PAC ID 7214835602, 3 clinicians

Practice addresses (Care Compare)

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (215) 463-3400

213 Greenhill Ave
Wilmington, DE 19805-1800

213 Greenhill Ave
Wilmington, DE 19805-1844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
064225LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Ophthalmology CurrentSince Jan 1, 2002 Accepting new patients
Advanced Eye Care P a CurrentSince Aug 1, 2001 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2002 Accepting new patients

Locations

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

213 Greenhill Ave
Wilmington, DE 19805
Phone (302) 656-8867

213 Greenhill Ave
Ste A
Wilmington, DE 19805
Phone (302) 656-8562

Organizations & group practices 5

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1669472114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S BROAD ST",
            "address_2": "STE 101",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191452300",
            "telephone_number": "215-463-3400",
            "fax_number": "215-463-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S BROAD ST",
            "address_2": "STE 101",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191452300",
            "telephone_number": "215-463-3400",
            "fax_number": "215-463-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "WAYNE",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "064225L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01718830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.