Individual provider Active NPI

Taryn Winkle, M.D

  • Pediatrics Physician
  • Bel Air, MD
National Provider Identifier
1508020348
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A101625 Issued in CA
Practice address
615 W Mac Phail Rd St
Suite 107
Bel Air, MD 21014
Phone
(410) 838-9555
Fax
(410) 836-5056
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D78871 MD
Pediatrics Physician 208000000X A101625 CA Primary

Addresses

Primary practice location

615 W Mac Phail Rd St
Suite 107
Bel Air, MD 21014

Mailing address

602 Atwwod Road
Suite 104
Bel Air, MD 21014
Phone (410) 838-9555

Other practice location 1

455 E Columbia St
Long Beach, CA 90806-1620
Phone (562) 933-0400

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101625CAMDPediatrics Physician
D78871MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PM Pediatrics of New England LLC Pediatrics Past Accepting new patients
PM Pediatrics of Delaware PA Single Specialty Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of Mamaroneck Single Specialty Past Accepting new patients
PM Pediatrics of New England LLC Pediatrics Past Accepting new patients
Gomez Yim & Rastogi, M.D., P.a. Single Specialty Past Accepting new patients
PM Pediatrics of New England LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: twinkle651884@direct.umm.edu
  • Direct secure messaging: drwinkle@gyrpediatrics.opdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1508020348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ATWWOD ROAD",
            "address_2": "SUITE 104",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-9555",
            "fax_number": "410-838-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MAC PHAIL RD ST",
            "address_2": "SUITE 107",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-9555",
            "fax_number": "410-836-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061620",
            "country_code": "US",
            "telephone_number": "562-933-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLE",
        "first_name": "TARYN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D78871",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.