Individual provider Active NPI

Paul K Winner, D.O.

  • Neurology with Special Qualifications in Child Neurology Physician
  • West Palm Beach, FL
National Provider Identifier
1831201243
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
OS 5407 Issued in FL
Practice address
4631 N Congress Ave
Suite 200
West Palm Beach, FL 33407-3209
Phone
(561) 845-0500
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X OS 5407 FL Primary

Addresses

Primary practice location

4631 N Congress Ave
Suite 200
West Palm Beach, FL 33407-3209

Mailing address

4631 N Congress Ave
Suite 200
West Palm Beach, FL 33407-3209
Phone (561) 845-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001089 FL Practitioner - Neurology 8527252113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Palm Beach NeurologyGroup PAC ID 5698767887, 9 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

4631 N Congress Ave
West Palm Beach, FL 33407-3234
Phone (561) 845-0500

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 5407FLMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Neurology CurrentSince Jan 22, 1988 Accepting new patients
Palm Beach Neurology CurrentSince Jan 22, 1988 Accepting new patients

Locations

4631 N Congress Ave
Ste 200
West Palm Beach, FL 33407
Phone (561) 845-0175

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1831201243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-845-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-845-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNER",
        "first_name": "PAUL",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "OS 5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.