Active NPI
Eugene A Winchester, M.D.
- Emergency Medicine Physician
- Willimantic, CT
National Provider Identifier
1104870294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 021566
- Practice address
- 112 Mansfield Ave
Willimantic, CT 06226-2041 - Phone
- (860) 456-6715
- NPI assigned
- May 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 021566 | CT | Primary |
Addresses
Primary practice location
112 Mansfield Ave
Willimantic, CT 06226-2041
Mailing address
PO Box 323
Murphy Hill Road
Scotland, CT 06264-0323
Phone (860) 456-4085
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021566 | CT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1104870294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 323",
"address_2": "MURPHY HILL ROAD",
"city": "SCOTLAND",
"state": "CT",
"postal_code": "062640323",
"telephone_number": "860-456-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262041",
"telephone_number": "860-456-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCHESTER",
"first_name": "EUGENE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "021566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.