Individual provider Active NPI

Tracy W Winward, M.D.

  • Obstetrics & Gynecology Physician
  • St George, UT
National Provider Identifier
1922008846
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
185467-1205 Issued in UT
Practice address
295 S 1470 E Ste 200
St George, UT 84790-1762
Phone
(435) 628-1662
Fax
(435) 628-1722
NPI assigned
Jul 21, 2005
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 185467-1205 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 200
St George, UT 84790-1762

Mailing address

295 S 1470 E Ste 200
St George, UT 84790-1762
Phone (435) 628-1662

Other identifiers 1

IdentifierTypeStateIssuer
D0567MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20101014000631 UT Practitioner - Obstetrics/Gynecology 1052503612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

295 S 1470
Suite 200
St George, UT 84790-1762
Phone (435) 628-1662

585 N 500
Provo, UT 84601-1548
Phone (801) 374-1801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185467-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Feb 26, 2013 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

585 N 500 W
Ste 500
Provo, UT 84601

295 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 628-1662

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1922008846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-628-1662",
            "fax_number": "435-628-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-628-1662",
            "fax_number": "435-628-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINWARD",
        "first_name": "TRACY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "185467-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0567",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.