Tin T Win, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28212 Issued in AZ

Practice address

2180 McCulloch Blvd N
Lake Havasu City, AZ 86403-6879

Phone

(928) 680-8282

Fax

(928) 680-8288

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lakeside Neurology LLC

  • Specialist
  • Lake Havasu City, AZ
  • NPI 1609055276
  NPD (past) Authorized official

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659357929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864051440",
            "telephone_number": "928-680-8282",
            "fax_number": "928-680-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MCCULLOCH BLVD N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036879",
            "telephone_number": "928-680-8282",
            "fax_number": "928-680-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "TIN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AZ77790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Wilcox, LMFT
• Floyd Wilks Jr., MD
• Jan Susan Williams, MS LPC
• Lisa Victoria Williams, PA
• Brandy Lee Wilson, LPN
• Adejare Windokun, MD
• Alexis Elizabeth Wolf, LAC
• Woman and Child Health, PC
• Womens Medical Health Center Inc
• Francis Jonathan Woo, MD

• Specialist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.