Winder-Turk-Jones Dermatology Apc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

007868 Issued in LA

Legal business name

WINDER-TURK-JONES DERMATOLOGY APC

Practice address

742 Pierremont Rd
Shreveport, LA 71106-2212

Phone

(318) 865-4631

Fax

(318) 865-0233

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Winder, M.D.

Title

President

Phone

(318) 865-4631

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WINDER DERMATOLOGY APC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Richard Carrington, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1699711978
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1881889079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 PIERREMONT RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062212",
            "telephone_number": "318-865-4631",
            "fax_number": "318-865-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 PIERREMONT RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062212",
            "telephone_number": "318-865-4631",
            "fax_number": "318-865-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDER-TURK-JONES DERMATOLOGY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-865-4631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "007868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDER DERMATOLOGY APC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Camila Valeria Fuentes Wiltcher, D.P.T.
• Michael Wayne Wiltcher, DPT
• Heidi E Wimberly, PA-C
• Charles Winborne
• Lawana Winborne
• Cameron Gordon Windham, MD
• Carole Suzanne Windham, DDS
• Emily Marien Winkler
• Brittany Winn
• Juaneshia Winn

• Dermatology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.