Active NPI
Family Medicine of Winona P.a.
- Family Medicine Physician
- Winona, MN
National Provider Identifier
1285765081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MEDICINE OF WINONA P.A.
- Practice address
- 825 Mankato Ave Ste 210
Winona, MN 55987-4866 - Phone
- (507) 454-5050
- Fax
- (507) 454-5102
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Peterson
- Title
- Asst Clinic Manager
- Phone
- (507) 454-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MN | Primary |
Addresses
Primary practice location
825 Mankato Ave Ste 210
Winona, MN 55987-4866
Mailing address
825 Mankato Ave Ste 210
Winona, MN 55987-4866
Phone (507) 454-5050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32871300 | Other | MN | WISC MEDICAL ASSISTANCE |
| 2508 | Other | MN | HEALTH PARTNERS |
| 124645 | Other | MN | UCARE |
| 2F659FA | Other | MN | BCBS |
National Provider Directory
National Provider DirectoryLocations
825 Mankato Ave
Ste 210
Winona, MN 55987
Phone (507) 454-5050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1285765081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 MANKATO AVE STE 210",
"city": "WINONA",
"state": "MN",
"postal_code": "559874866",
"telephone_number": "507-454-5050",
"fax_number": "507-454-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 MANKATO AVE STE 210",
"city": "WINONA",
"state": "MN",
"postal_code": "559874866",
"telephone_number": "507-454-5050",
"fax_number": "507-454-5102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE OF WINONA P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "ASST CLINIC MANAGER",
"authorized_official_telephone_number": "507-454-5050"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISC MEDICAL ASSISTANCE",
"identifier": "32871300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "2508",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "124645",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2F659FA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
- Family & Children's Center, Inc
- Family & Children's Center, Inc (Family & Children's Center)
- Family & Children's Center, Inc.
- Family & Childrens Center (Family & Children's Center, Inc.)
- Family & Childrens Center (Family & Children's Center, Inc.)
- Family Service of Winona
- Adrianna Marie Fannemel
- Mary Louise Fawcett, PH.D.
- Christina Feine, R.N
- Tammy Lynn Fejfar, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.