Organization Active NPI

Winke Orthopedic Pain Management Center

  • Physical Medicine & Rehabilitation Physician
  • Chesapeake, VA
National Provider Identifier
1386973253
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101054160 Issued in VA
Legal business name
WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER
Practice address
808 Eden Way N Ste 102
Chesapeake, VA 23320-0745
Phone
(757) 216-4030
Fax
(757) 216-4029
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Beth Winke, M.DNPI 1003812082
Title
Owner / President
Phone
(757) 216-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 0101054160 VA Primary

Addresses

Primary practice location

808 Eden Way N Ste 102
Chesapeake, VA 23320-0745

Mailing address

808 Eden Way N Ste 102
Chesapeake, VA 23320-0745
Phone (757) 216-4030

Other practice location 1

154 Burnetts Way Ste 101
Suffolk, VA 23434-8366
Phone (757) 216-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000644 VA Part B Supplier - Clinic/Group Practice 3870623341 Receives reassigned benefits from 9 practitioners
Practice locations: Chesapeake, VA; Suffolk, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2004819Winke Orthopedic Pain Management Center808 Eden Way North, Suite 102, Chesapeake, VA 23320AccreditationJan 27, 2027

National Provider Directory

National Provider Directory

Locations

808 Eden Way N
Ste 102
Chesapeake, VA 23320
Phone (757) 216-4030

154 Burnetts Way
Ste 100
Suffolk, VA 23434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2912/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1386973253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 EDEN WAY N STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200745",
            "telephone_number": "757-216-4030",
            "fax_number": "757-216-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 EDEN WAY N STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200745",
            "telephone_number": "757-216-4030",
            "fax_number": "757-216-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Burnetts Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348366",
            "country_code": "US",
            "telephone_number": "757-216-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "WINKE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "757-216-4030",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101054160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.