Organization Active NPI

Dr. GJ Winters Foot-Ankle LTD

  • Foot & Ankle Surgery Podiatrist
  • Grayslake, IL
National Provider Identifier
1447524269
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003420 Issued in IL
Legal business name
DR. GJ WINTERS FOOT-ANKLE LTD
Practice address
770 Barron Blvd
Grayslake, IL 60030-1330
Phone
(847) 223-4000
Fax
(847) 223-9171
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Griff J Winters, DPMNPI 1598766602
Title
Owner
Phone
(847) 223-4000

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016003420 IL Primary

Addresses

Primary practice location

770 Barron Blvd
Grayslake, IL 60030-1330

Mailing address

770 Barron Blvd
Grayslake, IL 60030-1330
Phone (847) 223-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000389 IL Part B Supplier - Clinic/Group Practice 8325209513 Receives reassigned benefits from 1 practitioner
Practice locations: Grayslake, IL

National Provider Directory

National Provider Directory

Locations

770 N State Route 83
Grayslake, IL 60030
Phone (847) 223-4000

Practitioners & affiliated clinicians

Practitioners 2

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": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1447524269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BARRON BLVD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301330",
            "telephone_number": "847-223-4000",
            "fax_number": "847-223-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BARRON BLVD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301330",
            "telephone_number": "847-223-4000",
            "fax_number": "847-223-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GJ WINTERS FOOT-ANKLE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "GRIFF",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-223-4000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.