Robert Charles Winchell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD172142 Issued in OR

Practice address

4904 River Rd N
Keizer, OR 97303-4540

Phone

(407) 271-0684

Fax

(503) 296-2400

NPI assigned

Jun 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Willamette Family Medical Center Inc

  • Family Medicine Physician
  • Salem, OR
  • NPI 1649386418

  Single Specialty

  Medicare reassignment NPD
• Little Critters Pediatrics LLC

  • Pediatrics Physician
  • Keizer, OR
  • NPI 1932082872

  Single Specialty

  NPD Authorized official
• Woodburn Pediatric Clinic

  • Primary Care Clinic/Center
  • Woodburn, OR
  • NPI 1154741916
  NPD (past)
• Woodburn Pediatric Clinic LLP

  • Pediatrics Physician
  • Woodburn, OR
  • NPI 1790969624

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1598027286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034540",
            "telephone_number": "503-390-2434",
            "fax_number": "503-981-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034540",
            "telephone_number": "407-271-0684",
            "fax_number": "503-296-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHELL",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-09",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD172142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Joseph Wichman, LMT
• Jason Lee Wilburn Sr., CADC 1, CRM
• Beth Ann Will, D.C.
• Willamette Foot Center Inc
• Willamette Orthopedic Group LLC
• Gregory Lee Wingett
• Christian Eric Wissinger, DC
• Billy Ray Wolf
• Kathrine Torrie Wolfe, RPH
• Wendy Wood-Boen, RN

• Pediatrics Physician in Keizer, OR
• Providers in Keizer, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.