Active NPI
David L Winkle, M.D.
- Family Medicine Physician
- Corbin, KY
National Provider Identifier
1205047412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15951
- Practice address
- 95 Bryan Blvd
Corbin, KY 40701-2788 - Phone
- (606) 526-4590
- Fax
- (606) 526-0548
- NPI assigned
- May 28, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15951 | KY | Primary |
Addresses
Primary practice location
95 Bryan Blvd
Corbin, KY 40701-2788
Mailing address
PO Box 950166
Louisville, KY 40295-0166
Phone (502) 253-1035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64159510 | Medicaid | KY |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15951 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1205047412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950166",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950166",
"telephone_number": "502-253-1035",
"fax_number": "502-253-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BRYAN BLVD",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012788",
"telephone_number": "606-526-4590",
"fax_number": "606-526-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKLE",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-28",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "15951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64159510",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.