Susan Winchester, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

15020 Issued in AL

Practice address

800 Saint Vincents Dr
Suite 640
Birmingham, AL 35205-1620

Phone

(205) 930-0806

Fax

(205) 930-0906

NPI assigned

Nov 15, 2006

Last updated

Jan 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• The Breast and Wellness Collective PC

  dba Birmingham Breast Care

  • Surgery Physician
  • Birmingham, AL
  • NPI 1780815639
  Medicare reassignment

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1831261486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR",
            "address_2": "SUITE 640",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051620",
            "telephone_number": "205-930-0806",
            "fax_number": "205-930-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR",
            "address_2": "SUITE 640",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051620",
            "telephone_number": "205-930-0806",
            "fax_number": "205-930-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "15020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1780815639",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000024976",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyshelle Wilson
• Walter Harris Wilson, DMD, MD
• Sydney Catherine Wiltz
• Lee T Wimberly, MD
• David R Winchester, DMD
• Christina J. Windham, CRNA
• Jason Windham
• Lakeisha S Windham, RN
• Samuel T Windham III, MD
• Marena Dichiara Windle, PA-C

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.