Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Crisostomo-Wynne, MD

Individual provider Urology Physician · NPI 1316486186

Theodore Crisostomo-Wynne, MD is an Urology in Tacoma, Washington. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2017, 9 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
WA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD61305294 (WA)

Record details

NPI number1316486186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2017
Last updated in NPPESAugust 3, 2025
Certification dateAugust 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2017 (9 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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