Individual provider Active NPI

Mark C Winslow, DO

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1598790198
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0034745 Issued in CO
Practice address
8158 E 5TH Ave Ste 220
Denver, CO 80230-7306
Phone
(303) 856-3568
Fax
(303) 648-5709
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 34745 CO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0320000502 CO
Family Medicine Physician 207Q00000X 34745 CO
Family Medicine Physician 207Q00000X DR.0034745 CO Primary

Addresses

Primary practice location

8158 E 5TH Ave Ste 220
Denver, CO 80230-7306

Mailing address

9259 Star Streak Cir
Littleton, CO 80125-1891
Phone (303) 856-3568

Other identifiers 1

IdentifierTypeStateIssuer
01347451MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20050228000410 CO Practitioner - Family Practice 3678526803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4344 Woodlands Blvd
260 CMG Primary Care Woodlands
Castle Rock, CO 80104-2801
Phone (303) 649-3155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0320000502COMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 29, 2020 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Jun 29, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4344 Woodlands Blvd
Ste 260
Castle Rock, CO 80104
Phone (303) 649-3155

2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109
Phone (303) 218-7774

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: mwinslow1821169@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1598790198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9259 STAR STREAK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801251891",
            "telephone_number": "303-856-3568",
            "fax_number": "303-648-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8158 E 5TH AVE STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307306",
            "telephone_number": "303-856-3568",
            "fax_number": "303-648-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "34745",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "0320000502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "34745",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0034745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347451",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.