Mark David Winchester, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17303 Issued in OK

Practice address

317 E Himes St
Norman, OK 73069-7810

Phone

(405) 632-6688

Fax

(405) 604-0738

NPI assigned

Mar 1, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Norman Regional Hospital Authority

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1912563727
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1912974809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 STRAKA TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392544",
            "telephone_number": "405-632-6688",
            "fax_number": "405-604-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E HIMES ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697810",
            "telephone_number": "405-632-6688",
            "fax_number": "405-604-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100186300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyara Elizabeth Ann Wilson
• Victor Thomas Wilson, M.D.
• Wanda Leah Wilson, RN
• Marilyne Wiltshire
• Lindsey Wimer
• Aaron Gregory Wines, D.C.
• Ryan Winfrey, D.O.
• Wings of Love Home Care Agency LLC
• Wink Therapy
• Rachael E Winkles, LCSW

• Family Medicine Physician in Norman, OK
• Providers in Norman, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.