Kenneth D Winokur, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

05003325L Issued in PA

Practice address

1817 S 2ND St
Phila, PA 19148

Phone

(215) 389-6120

Fax

(215) 389-1225

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1295814598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 S 2ND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-389-6120",
            "fax_number": "215-389-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S 2ND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-389-6120",
            "fax_number": "215-389-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINOKUR",
        "first_name": "KENNETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "05003325L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07020622",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Wills, DO
• Jamitia Camil Wilson-Knight, MS
• Earl Wesley Wilson, MD
• Richard P Wilson, M.D.
• Jeffrey Todd Wimbush
• Wise Peoples Choice
• Wise Peoples Choice of Pennsylvania, Inc (Wise Peoples Choice)
• Amelia M Withington, M.D.
• Wjo Inc. (South Philly Family Practice and Medical Center)
• WM. J. Dennis MD

• Internal Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.