G. Winston Stubbs M.D., LTD

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

MD016469E Issued in PA

Legal business name

G. WINSTON STUBBS M.D., LTD

Practice address

8121 Stenton Ave # B
Philadelphia, PA 19150-3530

Phone

(215) 248-2660

Fax

(215) 248-5336

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. G. Winston Stubbs, M.D.

Title

President

Phone

(215) 248-2660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1770709164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 STENTON AVE # B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503530",
            "telephone_number": "215-248-2660",
            "fax_number": "215-248-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 STENTON AVE # B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503530",
            "telephone_number": "215-248-2660",
            "fax_number": "215-248-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. WINSTON STUBBS M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-248-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "MD016469E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742475",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmologic Surgery Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmologic Surgery Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.