DR. COTY WINN (NPI# 1265093900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265093900 |
Entity Type | Individual |
Full Name | DR. COTY WINN |
Credential | MD |
Practice Address |
Minot Afb Medical Group 194 Missile Avenue Minot Afb ND 58705 |
Practice Telephone | 7017235206 |
Enumeration Date | 2019-06-24 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
Y | 171000000X | Military Health Care Provider | 0101270418 | VA | Other Service Providers |
Street Address |
MINOT AFB MEDICAL GROUP 194 MISSILE AVENUE |
City | MINOT AFB |
State | ND |
Zip Code | 58705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144717596 | Angela Kennedy | Social Worker | 5 Mdg 194 Missile Avenue, Minot Afb, ND 58705 | 2018-04-20 |
1386064780 | Desiree Avedon Aaron-barber | Licensed Practical Nurse | Minot Va Cboc, Minot Air Force Base, Minot, ND 58705 | 2014-04-24 |
1366771644 | Melanie Renee Roserie | Social Worker | 194 Missile Avenue, Minot Afb - 5 Mdg Mental Health Clinic, Minot, ND 58705 | 2009-12-15 |
1255565289 | Javier Alberto Padial | Pediatrics | 194 Missle Ave., Minot Afb, Apo, AA 58705 | 2009-05-05 |
1184694127 | Michelle Joy Fundingsland | Dietitian, Registered | 201 Missile Ave, Minot Afb, ND 58705 | 2006-01-24 |
1306404645 | Yongke Tan | Pharmacist | 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-02 |
1689106320 | Priscilla Barrio | Student in an Organized Health Care Education/Training Program | 194 Missile Ave, Minot Afb, ND 58705 | 2017-03-31 |
1649605072 | Jared Jon Solomon | Psychiatry & Neurology | 10 Missile Ave, Minot Afb, ND 58705 | 2013-09-04 |
1881953602 | Casey Simon Brock | Physician Assistant | 194 Missile Avenue, Minot Air Force Base, ND 58705 | 2012-05-14 |
1154618973 | Brian Grant Kay | Social Worker | 194 Missile Ave, Minot, ND 58705 | 2011-06-30 |
Find all providers in zip 58705 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417919366 | Ramil Agana Ascano | Military Health Care Provider | 103 Sunset Loop, Apt 2, Minot Afb, ND 58704-1905 | 2006-04-05 |
1265731939 | Alexis Marie Paschal | Military Health Care Provider | 194 Missile Ave, Minot Afb, ND 58705-0000 | 2011-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104323468 | Luke Joseph Delain | Military Health Care Provider | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2018-04-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.