Tara D Winchester, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Boardman, OH
NPI 1528034659 · NPPES record last updated Jan 30, 2008
Key facts
- NPI
- 1528034659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 34-008076 (OH)
- Practice address
- 1111 Boardman Canfield Rd
Boardman, OH 44512-4218 - Phone
- (330) 965-0909
- Fax
- (330) 965-0897
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia School of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Womens Care Inc
Practice addresses (Care Compare)
1111 Boardman Canfield Rd
Boardman, OH 44512-4062
Phone (330) 965-0909
Hospital & facility affiliations
- Surgical Hospital at Southwoods
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000842 | OH | Practitioner - Obstetrics/Gynecology | 9234114158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008076 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Women'S Care Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
1111 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 965-0909
Interoperability endpoints
- twinchester34026@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34-008076 | OH | Yes |
Addresses
Primary practice location
1111 Boardman Canfield Rd
Boardman, OH 44512-4218
Mailing address
1111 Boardman Canfield Rd
Boardman, OH 44512-4218
Phone (330) 965-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2430882 | Medicaid | OH |
Other providers in Boardman, OH
- Maribeth Willard
- Charles P Williams
- Jessica Williams
- Courtney Wilson
- Daniel Pearl Wilson
- Melinda S Winsen
- Chad W Wise
- Wish U Well
- Kristyn Wolf
- Hayley A Wolfe
All providers in Boardman, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.