Organization Active NPI

Michael G. Winnie, MD-PA

Doing business as Corpus Christi Family Wellness Center

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1649457276
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL G. WINNIE, MD-PA
Doing business as
Corpus Christi Family Wellness Center
Practice address
5920 Saratoga Blvd
# 610
Corpus Christi, TX 78414-4103
Phone
(361) 985-9850
Fax
(361) 985-9853
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Dr. Michael Glenn Winnie, MDNPI 1821196932
Title
MD / Owner
Phone
(361) 985-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5920 Saratoga Blvd
# 610
Corpus Christi, TX 78414-4103

Mailing address

5920 Saratoga Blvd
# 610
Corpus Christi, TX 78414-4103
Phone (361) 985-9850

Other identifiers 1

IdentifierTypeStateIssuer
157386702MedicaidTX

Other names 1

  • Corpus Christi Family Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000024 TX Part B Supplier - Clinic/Group Practice 6709857295 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1034378Michael G Winnie, MD PA5920 Saratoga Blvd #500, Corpus Christi, TX 78414Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

Locations

5920 Saratoga Blvd
Ste 610
Corpus Christi, TX 78414
Phone (361) 985-9850

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1649457276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "# 610",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-985-9850",
            "fax_number": "361-985-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "# 610",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-985-9850",
            "fax_number": "361-985-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. WINNIE, MD-PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "WINNIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "361-985-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157386702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corpus Christi Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.