Individual provider Active NPI

Patricia J Winn, MD

  • Obstetrics & Gynecology Physician
  • Pendleton, OR
National Provider Identifier
1932198140
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD14765 Issued in OR
Practice address
3001 St Anthony Way Ste 135
Pendleton, OR 97801-3810
Phone
(541) 278-1348
Fax
(541) 278-2164
NPI assigned
Oct 19, 2005
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 MD14765 OR Primary

Addresses

Primary practice location

3001 St Anthony Way Ste 135
Pendleton, OR 97801-3810

Mailing address

PO Box 1700
Pendleton, OR 97801-0540
Phone (541) 278-1348

Other identifiers 1

IdentifierTypeStateIssuer
102137MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000647 OR Practitioner - Obstetrics/Gynecology 8325149677 Reassigns benefits to 1 organization
Practice locations: Pendleton, OR
I20140106000310 TX Practitioner - Obstetrics/Gynecology 8325149677 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14765ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowhawk Tribal Health Center CurrentSince Aug 1, 2013 Accepting new patients
Commonspirit Oregon CurrentSince Mar 23, 2024 Accepting new patients
Commonspirit Oregon CurrentSince Mar 23, 2024 Accepting new patients
Commonspirit Oregon Past Accepting new patients
Commonspirit Oregon Past Accepting new patients

Locations

1514 SE Court Ave
Pendleton, OR 97801
Phone (541) 278-1348

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

3001 St Anthony Way
Ste 135
Pendleton, OR 97801
Phone (541) 278-1348

46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Anthony HospitalPendleton, OR, CCN 381319 Hospital Corporate Director Jul 1, 2012
St Anthony Swing BedPendleton, OR, CCN 38Z319 Hospital Corporate Officer Jul 1, 2013
Family ClinicPendleton, OR, CCN 388502 Rural health clinic Corporate Officer Jul 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1932198140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010540",
            "telephone_number": "541-278-1348",
            "fax_number": "541-278-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ST ANTHONY WAY STE 135",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013810",
            "telephone_number": "541-278-1348",
            "fax_number": "541-278-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD14765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102137",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.