Individual provider Active NPI

Thomas L Winn, PA-C

  • Medical Physician Assistant
  • Southbury, CT
National Provider Identifier
1265658298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000228 Issued in CT
Practice address
1461 South Britain Road
Southbury Training School
Southbury, CT 06488-0901
Phone
(203) 586-2203
Fax
(203) 586-2701
NPI assigned
Apr 18, 2007
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
Medical Physician Assistant 363AM0700X 000228 CT Primary

Addresses

Primary practice location

1461 South Britain Road
Southbury Training School
Southbury, CT 06488-0901

Mailing address

1461 South Britain Road
Southbury Training School
Southbury, CT 06488-0901
Phone (203) 586-2203

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

State licenses

LicenseStateTypeSpecialty
000228CTMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265658298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BRITAIN ROAD",
            "address_2": "SOUTHBURY TRAINING SCHOOL",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880901",
            "telephone_number": "203-586-2203",
            "fax_number": "203-586-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BRITAIN ROAD",
            "address_2": "SOUTHBURY TRAINING SCHOOL",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880901",
            "telephone_number": "203-586-2203",
            "fax_number": "203-586-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.