John W. Winter IV, MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E1969 Issued in TX

Practice address

2929 Bryn Mawr Dr
Dallas, TX 75225-7817

Phone

(214) 394-7860

Fax

(214) 696-1036

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1881626992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 BRYN MAWR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257817",
            "telephone_number": "214-394-7860",
            "fax_number": "214-696-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BRYN MAWR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257817",
            "telephone_number": "214-394-7860",
            "fax_number": "214-696-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_suffix": "IV",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097319002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKay Winslow, PT, DPT
• Chandler Winstead, MD
• Brian Phillip Winston, DO
• Eric Brandon Winston, PTA
• Fred David Winter Jr., M.D.
• Sarah Skodack Winter, ACNPC-AG
• Theodora Winter, MD
• Veronica O Winter, R.PH
• Karl Nelson Winters, M.D.
• Bonnie Marie Winton, CRNA

• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.