Individual provider Active NPI

Paul W Winterton, M.D.

  • Specialist
  • Draper, UT
National Provider Identifier
1013963651
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
372294-1205 Issued in UT
Practice address
96 E. Kimball Lane
#407
Draper, UT 84020
Phone
(801) 561-3101
Fax
(801) 561-3257
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 372294-1205 UT Primary

Addresses

Primary practice location

96 E. Kimball Lane
#407
Draper, UT 84020

Mailing address

PO Box 211
Draper, UT 84020-0211
Phone (801) 561-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000295 UT Practitioner - Orthopedic Surgery 3476457821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6699 S 1300
Suite 150
Salt Lake City, UT 84121-7240
Phone (612) 244-8260

96 E Kimball LN
Suite 407
Draper, UT 84020-4145
Phone (801) 561-3101

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
372294-1205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
SNP Medical Holdings LLC CurrentSince Feb 1, 2022 Accepting new patients
Paul W Winterton MD PC CurrentSince Aug 18, 2003 Accepting new patients
Utah Bone & Joint Center LC Past Accepting new patients
Brockbank Foot & Ankle Clinic PC PastSince Aug 18, 2003 Accepting new patients
Wasatch Physical Therapy and Rehabilation Center Specialist Past Accepting new patients

Locations

96 E Kimballs Ln
Ste 407
Draper, UT 84020
Phone (801) 561-3101

6699 S 1300 E
Ste 150
Murray, UT 84121
Phone (612) 244-8260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19164/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1013963651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840200211",
            "telephone_number": "801-561-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E. KIMBALL LANE",
            "address_2": "#407",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-561-3101",
            "fax_number": "801-561-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERTON",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "372294-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.