Kevin S. Winstead, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C002657 Issued in MD

Practice address

811 Cromwell Park Dr
Suite 104-105
Glen Burnie, MD 21061-2566

Phone

(410) 553-0110

Fax

(410) 553-0197

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1801913918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CROMWELL PARK DR",
            "address_2": "SUITE 104-105",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612566",
            "telephone_number": "410-553-0110",
            "fax_number": "410-553-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CROMWELL PARK DR",
            "address_2": "SUITE 104-105",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612566",
            "telephone_number": "410-553-0110",
            "fax_number": "410-553-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "KEVIN",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C002657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lystra Eastlyn Williams, CRNP
• Veronica Jenene Williams, N.P.
• Jillian M Wilson, LAT, ATC
• Maria Victoria Wilson, PA
• Aleta Margaret Wimbush
• Edith Winters
• David Bruce Woehlke, OD
• Mikias Wolde, PA-C
• Nicholas Adam Wolf, NP-C
• Stacey Nicole Wolf, CRNA

• Physician Assistant in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.