Mark S Winder, M.D.
Individual provider Active NPI Anesthesiology Physician · Colombus, NM
NPI 1710102173 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710102173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 49781 (MA)
- Practice address
- 32940 Pershing Road
Colombus, NM 88029 - Phone
- (505) 531-2591
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49781 | MA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49781 | MA | Yes |
Addresses
Primary practice location
32940 Pershing Road
Colombus, NM 88029
Mailing address
PO Box 601
Columbus, NM 88029-0601
Phone (505) 531-2591
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.