Active NPI
Berry E Winn MD PLLC
- Emergency Medical Services (Emergency Medicine) Physician
- Muskogee, OK
National Provider Identifier
1811987761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- BERRY E WINN MD PLLC
- Practice address
- 300 Rockefeller Dr
Muskogee, OK 74401-5075 - Phone
- (918) 781-9466
- NPI assigned
- Oct 24, 2005
- Last updated
- Oct 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Berry E Winn, M.D.
- Title
- President
- Phone
- (918) 781-9466
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OK | Primary |
Addresses
Primary practice location
300 Rockefeller Dr
Muskogee, OK 74401-5075
Mailing address
Lockbox #17
2424 E. 21St #100
Tulsa, OK 74114-1711
Phone (866) 321-8433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100747830A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Muskogee, OK
- NPI 1225028780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1811987761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOCKBOX #17",
"address_2": "2424 E. 21ST #100",
"city": "TULSA",
"state": "OK",
"postal_code": "741141711",
"telephone_number": "866-321-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-781-9466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERRY E WINN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "WINN",
"authorized_official_first_name": "BERRY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-781-9466",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100747830A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.