Kent D Winkler, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MC-0648 Issued in ID

Practice address

2000 S Thompson St
Flagstaff, AZ 86001-8759

Phone

(928) 226-6400

Fax

(928) 226-6411

NPI assigned

May 31, 2005

Reactivated

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, ID, CO, NM4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078

  AZ

  Medicare reassignment NPD
• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483

  AZ, Internal Medicine

  Medicare reassignment NPD
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648

  AZ

  Medicare reassignment NPD
• Intermountain Medical Group Grand Junction, LLC

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1356765556

  CO, Internal Medicine

  Medicare reassignment NPD
• San Juan Regional Medical Center Inc

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901

  NM

  Medicare reassignment NPD
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404

  ID, Internal Medicine

  Medicare reassignment NPD
• Northern Arizona Cardiovascular Specialists PC

  • Cardiovascular Disease Physician
  • Flagstaff, AZ
  • NPI 1063461655

  Cardiovascular Disease

  NPD (past) Authorized official
• Flagstaff Medical Center

  • Community/Retail Pharmacy
  • Flagstaff, AZ
  • NPI 1649348442
  NPD
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Sedona, AZ
  • NPI 1538608716
  NPD
• Intermountain Medical Group Grand Junction, LLC

  • Durable Medical Equipment & Medical Supplies
  • Grand Junction, CO
  • NPI 1609737618
  NPD
• San Juan Regional Medical Center Inc

  • Cardiovascular Disease Physician
  • Farmington, NM
  • NPI 1033327770

  Cardiovascular Disease

  NPD
• San Juan Regional Medical Center Inc

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1972506277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S THOMPSON ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018759",
            "telephone_number": "928-226-6400",
            "fax_number": "928-226-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S THOMPSON ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018759",
            "telephone_number": "928-226-6400",
            "fax_number": "928-226-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S Schwartz Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015925",
            "country_code": "US",
            "telephone_number": "505-609-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "KENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "30420",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2023-0260",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "MC-0648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318065",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Christine Wilson, M.S., CCC-SLP
• Sheilah M. Wilson, LPC, LISAC, NCC
• Steven M Wilson, RPH
• William Wilson, M.D.
• Jessica Winandy, PT, DPT
• Erin Winter, NMD
• Dakota Wise, MD
• Irene Manalisay Wise, FNP RN
• Matthew Keith Wise, M.D.
• Lynn Spangenberg Wisniewski

• All providers in Flagstaff, AZ
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.