Individual provider Active NPI

Winston S. Thomas, M.D.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1467444323
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19200 Issued in AZ
Practice address
3033 N. Central Ave
Ste 610
Phoenix, AZ 85012-2819
Phone
(602) 266-1556
Fax
(602) 279-5333
NPI assigned
Aug 17, 2005
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19200 AZ Primary

Addresses

Primary practice location

3033 N. Central Ave
Ste 610
Phoenix, AZ 85012-2819

Mailing address

3033 N. Central Ave.
Ste. 610
Phoenix, AZ 85012-2819
Phone (602) 266-1556

Other identifiers 1

IdentifierTypeStateIssuer
221250MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center PastSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: winstonthomas@wstmdpc.allscriptsdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1467444323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N. CENTRAL AVE.",
            "address_2": "STE. 610",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122819",
            "telephone_number": "602-266-1556",
            "fax_number": "602-279-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N. CENTRAL AVE",
            "address_2": "STE 610",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122819",
            "telephone_number": "602-266-1556",
            "fax_number": "602-279-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WINSTON",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.