Individual provider Active NPI

Joshua Ty Winters

  • Physician Assistant
  • Tooele, UT
National Provider Identifier
1538760061
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8425920-1206 Issued in UT
Practice address
2321 N 400 E Ste 200
Tooele, UT 84074-3440
Phone
(435) 830-6110
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8425920-1206 UT Primary

Addresses

Primary practice location

2321 N 400 E Ste 200
Tooele, UT 84074-3440

Mailing address

2321 N 400 E Ste 200
Tooele, UT 84074-3440
Phone (435) 830-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019002384 UT Practitioner - Physician Assistant 2769870005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

Practice addresses (Care Compare)

1548 E 4500
Suite 202
Salt Lake City, UT 84117-5209
Phone (801) 266-8841

4040 W Daybreak Pkwy
Suite 200
South Jordan, UT 84009-1288
Phone (801) 266-8841

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
96.5
Promoting interoperability
84
Improvement activities
40
Cost
89.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8425920-1206UTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jwinters@woseth.emadirect.md

Organizations & group practices 1

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1538760061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 200",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-830-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 200",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-830-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "JOSHUA",
        "middle_name": "TY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8425920-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.