NPIMap

Individual provider Active NPI

Berry E Winn, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Muskogee, OK
National Provider Identifier
1225028780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
17298 Issued in OK
Practice address
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone
(918) 781-9466
NPI assigned
Oct 26, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 17298 OK Primary

Addresses

Primary practice location

300 Rockefeller Dr
Muskogee, OK 74401-5075

Mailing address

Lockbox #17
2424 E. 21St #100
Tulsa, OK 74114-1711
Phone (866) 321-8433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000372 OK Practitioner - Emergency Medicine 8325020266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Aug 10, 2013 Accepting new patients
Northeastern Health System CurrentSince Aug 10, 2013 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 1, 2016 Accepting new patients
Northeastern Health System Current Accepting new patients
Purcell Municipal Hospital Current Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jul 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 1, 2016 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC CurrentSince Dec 4, 2013 Accepting new patients
Eufaula Medicine PLLC PastSince Apr 1, 2009 Accepting new patients
Winn Family Practice, PLP PastSince Jan 3, 2008 Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

300 Rockefeller Dr
#Three
Muskogee, OK 74401
Phone (918) 682-5501

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225028780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBOX #17",
            "address_2": "2424 E. 21ST #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141711",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-781-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "BERRY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "17298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.