Active NPI
Micahel Anthony Winkler
- Hearing Instrument Specialist
- Plymouth, MN
National Provider Identifier
1679093702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2817
- Practice address
- 3021 Harbor LN N Ste 212
Plymouth, MN 55447-5120 - Phone
- (763) 367-6012
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2817 | MN | Primary |
Addresses
Primary practice location
3021 Harbor LN N Ste 212
Plymouth, MN 55447-5120
Mailing address
2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2817 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1679093702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735125",
"telephone_number": "732-529-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 HARBOR LN N STE 212",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475120",
"telephone_number": "763-367-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKLER",
"first_name": "MICAHEL",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.