Active NPI
Roberta M Midwinter, MD
- Family Medicine Physician
- Winsted, MN
National Provider Identifier
1609875509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38263
- Practice address
- 551 4TH St No
Winsted, MN 55395-0000 - Phone
- (320) 485-4803
- Fax
- (320) 485-4499
- NPI assigned
- Jul 21, 2005
- Last updated
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38263 | MN | Primary |
Addresses
Primary practice location
551 4TH St No
Winsted, MN 55395-0000
Mailing address
PO Box 718
Winsted, MN 55395-0718
Phone (320) 485-4803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38263 | Other | MN | MEDICAL LICENSE |
| 866727600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38263 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Clinics | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1609875509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "WINSTED",
"state": "MN",
"postal_code": "553950718",
"telephone_number": "320-485-4803",
"fax_number": "320-485-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 4TH ST NO",
"city": "WINSTED",
"state": "MN",
"postal_code": "553950000",
"telephone_number": "320-485-4803",
"fax_number": "320-485-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDWINTER",
"first_name": "ROBERTA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "38263",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "866727600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winsted, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.