Active NPI
Wynstra Womens Healthcare, PSC
- Obstetrics & Gynecology Physician
- Mayfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WYNSTRA WOMENS HEALTHCARE, PSC
- Practice address
- 1111 Medical Center Cir
Mayfield, KY 42066-1194 - Phone
- (270) 251-4545
- Fax
- (270) 251-4546
- NPI assigned
- Nov 20, 2006
- Last updated
- Feb 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Wynstra, M.D.
- Title
- Physician
- Phone
- (270) 251-4543
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | KY | Primary |
Addresses
Primary practice location
1111 Medical Center Cir
Mayfield, KY 42066-1194
Mailing address
1029 Medical Center Cir
Suite 200
Mayfield, KY 42066-1189
Phone (270) 251-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000497608 | Other | KY | ANTHEM |
| 65945891 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100
1111 Medical Center Cir
Ste 120
Mayfield, KY 42066
Phone (270) 251-4543
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Mayfield, KY
- NPI 1235132960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1053485128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 MEDICAL CENTER CIR",
"address_2": "SUITE 200",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661189",
"telephone_number": "270-251-4545",
"fax_number": "270-251-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER CIR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661194",
"telephone_number": "270-251-4545",
"fax_number": "270-251-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYNSTRA WOMENS HEALTHCARE, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "WYNSTRA",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "270-251-4543",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000497608",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65945891",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.