Individual provider Active NPI

Stephen E Winston, MD

  • Legal Medicine
  • Fairhope, AL
National Provider Identifier
1376524017
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
00019844 Issued in AL
Practice address
770 Middle St
Ste B
Fairhope, AL 36532-1766
Phone
(251) 928-1191
Fax
(251) 928-4529
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 00019844 AL Primary

Addresses

Primary practice location

770 Middle St
Ste B
Fairhope, AL 36532-1766

Mailing address

770 Middle St
Ste B
Fairhope, AL 36532-1766
Phone (251) 928-1191

Other identifiers 1

IdentifierTypeStateIssuer
051026573OtherALBLUE CROSS PROVIDER NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000219 AL Practitioner - Family Practice 2264328467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates of Montrose, PAGroup PAC ID 2466345129, 3 clinicians

Practice addresses (Care Compare)

770 Middle St
Fairhope, AL 36532-1766
Phone (251) 928-1191

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00019844ALMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Montrose, PA Legal Medicine CurrentSince Oct 1, 1994 Accepting new patients

Locations

770 Middle St
#B
Fairhope, AL 36532
Phone (251) 928-1191

770 Middle St
Fairhope, AL 36532
Phone (251) 517-5800

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1376524017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MIDDLE ST",
            "address_2": "STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321766",
            "telephone_number": "251-928-1191",
            "fax_number": "251-928-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MIDDLE ST",
            "address_2": "STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321766",
            "telephone_number": "251-928-1191",
            "fax_number": "251-928-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "00019844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "051026573",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.