Active NPI
Ossian B. Wynn, MD
- Emergency Medicine Physician
- Eden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 28450
- Practice address
- 117 E. Kings Highway
Eden, NC 27288-5201 - Phone
- (336) 623-9711
- Fax
- (336) 623-7660
- NPI assigned
- Apr 14, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28450 | NC | Primary |
Addresses
Primary practice location
117 E. Kings Highway
Eden, NC 27288-5201
Mailing address
117 E. Kings Highway
Eden, NC 27288-5201
Phone (336) 623-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8907737 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000
600 E Interstate 20
Stanton, TX 79782-2084
Phone (432) 756-3345
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Glen Rose Medical Center
- Christus St Frances Cabrini Hospital
- Faith Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28450 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Physicians PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Ess of Ferriday, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| NC Emergency Physician Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Oakdale Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Ess of South Texas LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Jena Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Highland Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Jena Ess Hospitalist LLC | Current | Accepting new patients | |
| Unc Rockingham Health Care, Inc. | Past | Accepting new patients | |
| Mid-Atlantic Emergency Medical Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
Locations
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
500 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-5131
100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- owynn624727@christushealth.direct-ci.net
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1154913861
-
- Emergency Medicine Physician
- Eden, NC
- NPI 1518374800
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, NC, VA
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
-
- Emergency Medicine Physician
- Ferriday, LA
- NPI 1346900560
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
-
- Internal Medicine Physician
- Jena, LA
- NPI 1144635020
-
- Emergency Medicine Physician
- Jena, LA
- NPI 1235544115
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1891759171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E. KINGS HIGHWAY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-623-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E. KINGS HIGHWAY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-623-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "OSSIAN",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "28450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8907737",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.