DR. MARK L. WINTER (NPI# 1740283571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740283571 |
| Entity Type | Individual |
| Full Name | DR. MARK L. WINTER |
| Credential | M.D. |
| Practice Address |
4432 S Loop 289 Lubbock TX 79414-5005 |
| Practice Telephone | 8067930845 |
| Practice Fax Number | 8067993987 |
| Mailing Telephone | 8067930845 |
| Mailing Fax Number | 8067993987 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | E9027 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FIRST CARE INSURANCE | 127130100 | 01 |
| RR MEDICARE | 040009551 | 01 | |
| TX | AETNA INSURANCE | 4547130 | 01 |
| BLUE CROSS | 00PC04 | 01 | |
| TX | FIRST CARE MEDICAID | 120346502 | 01 |
| TX | 120346502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841366028 | Mark Thomas Winter | Optometrist | 6810 N Davis Hwy, Pensacola, FL 32504-6304 | 2006-11-28 |
| 1417303405 | Mark Winter | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2016-05-09 |
| Street Address |
4432 S LOOP 289 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609961812 | Philip Alan Scolaro | Otolaryngology | 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 | 2006-10-04 |
| 1134112865 | William Russell Fell | Otolaryngology | 3802 22nd, #100, Lubbock, TX 79410 | 2005-08-29 |
| 1023539426 | Rahul Mahendra Varman | Otolaryngology | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2017-07-06 |
| 1790019784 | Ear Nose and Throat Associates of Lubbock Pa | Otolaryngology | 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 | 2009-09-24 |
| 1649456542 | Kim E Pershall Md Pa | Otolaryngology | 3811 24th Street, Lubbock, TX 79410-1813 | 2008-01-10 |
| 1063632974 | Joshua Charles Demke | Otolaryngology | 3601 4th St Fl 4, Lubbock, TX 79430-0002 | 2007-04-26 |
| 1124177423 | Sanford T. Ward, D.o., Professional Associatiion | Otolaryngology | 3719 22nd St, Lubbock, TX 79410-1329 | 2007-01-09 |
| 1043259112 | Thomas F Neal | Otolaryngology | 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 | 2006-06-05 |
| 1548209810 | Stan E Potocki | Otolaryngology | 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 | 2006-06-05 |
| 1215983788 | Thomas F. Neal, M.d., Stan E. Potocki, M.d., Professional Association | Otolaryngology | 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 | 2006-05-26 |
| Find all providers in LUBBOCK | ||||
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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.