Provider Demographics
NPI:1992812267
Name:RYNDA, JOY A (MD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:A
Last Name:RYNDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ANN
Other - Last Name:RYNDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:MS 958
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-7615
Mailing Address - Fax:414-266-6238
Practice Address - Street 1:8800 WASHINGTON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-3701
Practice Address - Country:US
Practice Address - Phone:414-266-7615
Practice Address - Fax:414-266-6238
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27785208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1992812267Medicaid
BR1464748OtherDEA NUMBER
686000003Medicare ID - Type UnspecifiedMEDICARE PROVIDER
BR1464748OtherDEA NUMBER