Organization Active NPI

Steven Paul Winkler M D

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1053476010
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7842 Issued in NV
Legal business name
STEVEN PAUL WINKLER M D
Practice address
10001 S Eastern Ave
Suite 402
Henderson, NV 89052-3907
Phone
(702) 617-8684
Fax
(702) 617-2560
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Steven Paul Winkler, M.D.NPI 1447227889
Title
Physician Owner
Phone
(702) 617-8684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 7842 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave
Suite 402
Henderson, NV 89052-3907

Mailing address

PO Box 50823
Henderson, NV 89016-0823
Phone (702) 617-8684

Other identifiers 1

IdentifierTypeStateIssuer
002019984MedicaidNV

Other names 1

  • Desert Preventative and Diagnostic Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000108 NV Part B Supplier - Clinic/Group Practice 8022111343 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

10001 S Eastern Ave
#4
Henderson, NV 89052
Phone (702) 617-8684

10001 S Eastern Ave
Ste 402
Henderson, NV 89052
Phone (702) 617-8684

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1053476010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50823",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160823",
            "telephone_number": "702-617-8684",
            "fax_number": "702-617-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE",
            "address_2": "SUITE 402",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523907",
            "telephone_number": "702-617-8684",
            "fax_number": "702-617-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN PAUL WINKLER M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "702-617-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019984",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Preventative and Diagnostic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.