Winsor Clinic, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301053789 Issued in MI

Legal business name

WINSOR CLINIC, P.C.

Practice address

168 N Caseville Rd
Pigeon, MI 48755-9704

Phone

(989) 453-3585

Fax

(989) 453-2026

NPI assigned

Apr 4, 2007

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali A Khan, M.D.NPI 1598870503

Title

President

Phone

(989) 453-3585

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali A Khan, MD

  • Internal Medicine Physician
  • Pigeon, MI
  • NPI 1598870503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1962524868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559704",
            "telephone_number": "989-453-3585",
            "fax_number": "989-453-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559704",
            "telephone_number": "989-453-3585",
            "fax_number": "989-453-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSOR CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-453-3585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301053789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121082",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MI",
            "identifier": "0320062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Rose Gardan, Inc.
• Brigid Alana Trowbridge
• Bridget Ann Wanless, RPH
• Holly Wasierski, LLMSW
• Emma Will, PA-C

• Specialist in Pigeon, MI
• Providers in Pigeon, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.