DANIEL SETH WINCHESTER (NPI# 1740628023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740628023 |
| Entity Type | Individual |
| Full Name | DANIEL SETH WINCHESTER |
| Credential | MD |
| Practice Address |
1618 S Millenium Way Ste 100 Meridian ID 83642-6457 |
| Practice Telephone | 2088843376 |
| Mailing Telephone | 2088843376 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 57145 | MN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 106998 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
M13715 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1618 S MILLENIUM WAY STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114966959 | Stephen J Frelly | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-06 |
| 1558789560 | Brian Spencer Hoyt | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2014-04-07 |
| 1568880995 | Ryan Bruce Thorpe | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2014-04-02 |
| 1922309848 | Juliann Claire Visser | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2010-11-09 |
| 1417184409 | Mark Noble Schwendiman | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2009-06-17 |
| 1285803445 | David James Barclay II | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2008-02-21 |
| 1518973338 | Ada West Dermatology, P.C. | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-08-01 |
| 1417999657 | Tiffany Mccray | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-12 |
| 1013956853 | Alexander J Arhets | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568880995 | Ryan Bruce Thorpe | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528279189 | Brandon Lynn Miner | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2007-05-25 |
| 1417456385 | Eagle Dermatology, Pllc | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616-6865 | 2018-02-06 |
| 1063840288 | High Valley Dermatology and Surgery | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2013-10-25 |
| 1891025334 | High Valley Dermatology & Dermatologic Surgery LLC | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2010-01-06 |
| 1245484096 | Kurtis B Reed | Dermatology | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 | 2008-11-06 |
| 1295908127 | Idaho Skin Surgery Center, PC | Dermatology | 1906 S Vista Ave, Boise, ID 83705-3453 | 2008-04-11 |
| 1255449898 | High Valley Dermatology & Dermatologic Surgery, PC | Dermatology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-08-25 |
| 1760400238 | Earl Stoddard | Dermatology | 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 | 2006-07-17 |
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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.