Dr Mark D Winchester MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17303 Issued in OK

Legal business name

DR MARK D WINCHESTER MD PLLC

Doing business as

Mark Winchester, M.D.

Practice address

1019 N Council Ave
Blanchard, OK 73010-8003

Phone

(405) 485-8100

Fax

(405) 485-8104

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Winchester, M.D.

Title

Physician/Owner

Phone

(405) 485-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark Winchester, M.D. Doing business as

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1518110261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730101789",
            "telephone_number": "405-485-8100",
            "fax_number": "405-485-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108003",
            "telephone_number": "405-485-8100",
            "fax_number": "405-485-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK D WINCHESTER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-485-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100186300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Winchester, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Blanchard, OK
• Providers in Blanchard, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.