Organization Active NPI

Samuel C. Winter DO PLLC

  • Adult Medicine Physician
  • Reno, NV
National Provider Identifier
1134588387
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
1267 Issued in NV
Legal business name
SAMUEL C. WINTER DO PLLC
Practice address
4600 Kietzke LN
K-221
Reno, NV 89502-5033
Phone
(775) 387-2093
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Samuel C. Winter, DO
Title
Owner
Phone
(775) 387-2093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 1267 NV Primary

Addresses

Primary practice location

4600 Kietzke LN
K-221
Reno, NV 89502-5033

Mailing address

18124 Wedge Pkwy
# 1074
Reno, NV 89511-8134
Phone (775) 387-2093

National Provider Directory

National Provider Directory

Locations

4600 Kietzke Ln
Ste K221
Reno, NV 89502
Phone (775) 387-2093

4600 Kietzke Ln
#K221
Reno, NV 89502
Phone (775) 387-2093

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1134588387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY",
            "address_2": "# 1074",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "775-387-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "K-221",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-387-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C. WINTER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-387-2093",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.