Active NPI
Rita Ann Winteringham, PA-C
- Physician Assistant
- Muskegon, MI
National Provider Identifier
1013944347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002597
- Practice address
- 1212 E Sherman Blvd
Muskegon, MI 49444-1879 - Phone
- (231) 739-9427
- Fax
- (231) 830-9729
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002597 | MI | Primary |
Addresses
Primary practice location
1212 E Sherman Blvd
Muskegon, MI 49444-1879
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00359417 | Other | MI | RAILROAD MEDICARE |
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
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002597 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGH Family Health Center | Past | Accepting new patients | |
| Shoreline Gastroenterology PC | Past | Accepting new patients | |
| Lake Shore Pulmonology, PLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Spring Lake, MI
- NPI 1245283696
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1255331583
-
- Specialist
- Muskegon, MI
- NPI 1396767422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1013944347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441879",
"telephone_number": "231-739-9427",
"fax_number": "231-830-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERINGHAM",
"first_name": "RITA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00359417",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.