John Andrew Winczura, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAD 441 Issued in AK

Practice address

1444 S Creek Rd
Eagle River, AK 99577-9461

Phone

(907) 622-4663

Fax

(907) 622-4643

NPI assigned

Mar 8, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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

• Anchorage Housecall Medicine LLC

  • Physician Assistant
  • Eagle River, AK
  • NPI 1437346111
  NPD (past) Authorized official
• Anchorage Housecall Medicine LLC

  • Primary Care Clinic/Center
  • Eagle River, AK
  • NPI 1497118574
  NPD (past) Authorized official
• John D. Zipperer, Jr., M.D., LLC

  • Interventional Pain Medicine Physician
  • Eagle River, AK
  • NPI 1528326626
  NPD (past)
• Raymond E. Andreassen

  • Family Medicine Physician
  • Delta Junction, AK
  • NPI 1366640070
  NPD (past)
• Tok Clinic, LLC

  • Family Medicine Physician
  • Tok, AK
  • NPI 1043417959
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1336270347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461",
            "telephone_number": "907-622-4663",
            "fax_number": "907-622-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461",
            "telephone_number": "907-622-4663",
            "fax_number": "907-622-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCZURA",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PAD 441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDA0160",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Williams, PT
• Chrys Williamson
• Everett Wilmarth, LMT
• Christopher Alexander Wilson, P.T.
• Laurie Wilson
• Wendy Carolina Winfield
• Landen Michael Wohrle, RBT
• Logen Thomas Wohrle
• Doniel Wolfe
• Robin Wolffe, LCSW

• Medical Physician Assistant in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.