Individual provider Active NPI

Thomas Craig Winegarden, MD

  • Psychiatry Physician
  • Chanhassen, MN
National Provider Identifier
1194707828
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35322 Issued in MN
Practice address
7945 Stone Creek Dr
Ste 130
Chanhassen, MN 55317-4561
Phone
(952) 241-4050
Fax
(952) 241-4049
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35322 MN Primary

Addresses

Primary practice location

7945 Stone Creek Dr
Ste 130
Chanhassen, MN 55317-4561

Mailing address

7945 Stone Creek Dr
Ste 130
Chanhassen, MN 55317-4561
Phone (952) 241-4050

Other identifiers 3

IdentifierTypeStateIssuer
1518367OtherMNMEDICA
ST729WIOtherMNBCBS OF MN
313368100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000028 MN Practitioner - Psychiatry 5799733614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Creek Psychiatry LLCGroup PAC ID 2365608726, 3 clinicians

Practice addresses (Care Compare)

7945 Stone Creek Dr
Suite 130
Chanhassen, MN 55317-4698
Phone (952) 241-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35322MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Creek Psychiatry, LLC Psychiatry CurrentSince Aug 15, 2012 Accepting new patients
Fairview Express Care CurrentSince Jun 17, 2016 Accepting new patients
Fairview Health Services Current Accepting new patients
Eagan Counseling Clinic Past Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

7945 Stone Creek Dr
Ste 130
Chanhassen, MN 55317
Phone (952) 241-4050

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1194707828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR",
            "address_2": "STE 130",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174561",
            "telephone_number": "952-241-4050",
            "fax_number": "952-241-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR",
            "address_2": "STE 130",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174561",
            "telephone_number": "952-241-4050",
            "fax_number": "952-241-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGARDEN",
        "first_name": "THOMAS",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "35322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1518367",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "ST729WI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313368100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.