Active NPI
Wayne Hamilton Dunn, MD
- Ophthalmology Physician
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 064225L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01718830 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 064225L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Ophthalmology | Current | Accepting new patients |
| Advanced Eye Care P a | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | 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.
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- NPI 1467420414
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1225084767
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Ophthalmology Physician
- Wilmington, DE
- NPI 1285619635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.