Mark I Winters, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002339 Issued in OH

Practice address

1100 N Abbe Rd
Ste D
Elyria, OH 44035-1667

Phone

(440) 365-2502

NPI assigned

May 24, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Universal Practice Partners 007 LLC

  • Podiatrist
  • Cleveland Heights, OH
  • NPI 1285822403
  Medicare reassignment NPD Authorized official
• Laser Foot Care Center Inc

  • Podiatrist
  • Akron, OH
  • NPI 1124565312
  NPD (past)
• Northern Kentucky Family Foot Care Inc

  • Podiatrist
  • Alexandria, KY
  • NPI 1235132861
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1124021910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "STE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144671",
            "telephone_number": "513-829-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ABBE RD",
            "address_2": "STE D",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351667",
            "telephone_number": "440-365-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "MARK",
        "middle_name": "I",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614937",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00267792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florencia Willis
• Lyndon Tyrone Willis I
• Kaitlyn Wilson
• Angela Marie Winland
• Christan D Winner, CNP
• Christy Lynn Wise
• Karen Wise
• Wendy L Wise, CRNA
• Kevin E Wisler, MD
• James Vincent Wisser, PHD

• Podiatrist in Elyria, OH
• Providers in Elyria, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.