Individual provider Active NPI

Wynn W Paing, M.D.

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
National Provider Identifier
1750343281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD425329 Issued in PA
Practice address
2910 Franks Rd
Suite# 1
Huntingdon Valley, PA 19006-4215
Phone
(215) 590-7294
Fax
(215) 590-7350
NPI assigned
Apr 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD425329 PA Primary

Addresses

Primary practice location

2910 Franks Rd
Suite# 1
Huntingdon Valley, PA 19006-4215

Mailing address

8109 Pennhill Rd
Elkins Park, PA 19027-2723
Phone (215) 635-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425329PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Childrens Services Past Accepting new patients
Growth Opportunity Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750343281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 PENNHILL RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272723",
            "telephone_number": "215-635-9228",
            "fax_number": "215-635-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 FRANKS RD",
            "address_2": "SUITE# 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064215",
            "telephone_number": "215-590-7294",
            "fax_number": "215-590-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAING",
        "first_name": "WYNN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD425329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.