Keith Allen Wintermeyer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0046629 Issued in FL

Practice address

610 Mockingbird LN
Plantation, FL 33324-3402

Phone

(954) 336-3722

NPI assigned

Jan 2, 2007

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 3

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649337668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MOCKINGBIRD LN",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243402",
            "telephone_number": "954-336-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MOCKINGBIRD LN",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243402",
            "telephone_number": "954-336-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERMEYER",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0046629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "04746",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592013191",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME0046629",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Patrice Wilson
• Mildred Thomas Wilson, R.PH.
• Wilton Medical Supply LLC
• Ortal Winer
• Marcela Alejandra Winter, APRN
• Joseph Wirth, MD
• With Open Arms Residence, Inc.
• WN Medical Inc
• Monica Mary Wojcik, M.A., CCC-SLP
• Nina Wojtowicz, PA-C

• Pediatrics Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.