Timothy M Winders

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PI156580 Issued in MA

Practice address

179 Longwood Ave
Boston, MA 02115-5804

Phone

(617) 732-2800

NPI assigned

Jun 30, 2011

Last updated

Jun 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1043507841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HEDGES POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602215",
            "telephone_number": "508-888-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155804",
            "telephone_number": "617-732-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDERS",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "PI156580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey E Winans, AUD
• Abbey J Winant, M.D., M.F.A.
• Stephen Francis Winchester, LICSW
• Kellen Diamond Winden, M.D. PH.D.
• Sonora Andromeda Windermere, MD
• McAllister Windom
• Windows of Hope
• Eric Stephen Winer, MD
• Max Winer, LCSW
• Leanne Nassar Wines, PA-C

• Student in an Organized Health Care Education/Training Program in Boston, MA
• Providers in Boston, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.