Individual provider Active NPI

James Kent Winblad, M.D.

  • Obstetrics & Gynecology Physician
  • Winfield, KS
National Provider Identifier
1861486524
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0417394 Issued in KS
Practice address
3625 Quail Ridge Rd
Winfield, KS 67156-8881
Phone
(620) 221-6100
Fax
(620) 221-7680
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0417394 KS Primary
Surgery Physician 208600000X 04-17394 KS
General Practice Physician 208D00000X 0417394 KS

Addresses

Primary practice location

3625 Quail Ridge Rd
Winfield, KS 67156-8881

Mailing address

3625 Quail Ridge Rd
Winfield, KS 67156-8881
Phone (620) 221-6100

Other identifiers 1

IdentifierTypeStateIssuer
100194240AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-17394KSMDSurgery Physician
0417394KSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Valley Community Hospital Inc General Practice Past Accepting new patients
Galichia Medical Group, P.a. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1861486524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 QUAIL RIDGE RD",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671568881",
            "telephone_number": "620-221-6100",
            "fax_number": "620-221-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 QUAIL RIDGE RD",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671568881",
            "telephone_number": "620-221-6100",
            "fax_number": "620-221-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBLAD",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0417394",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-17394",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "0417394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.