MEDICARE: DR. JAMES BARRY WINSTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	26078-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124111893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BARRY WINSTON M.D.

Provider Business Mailing Address
First Line	:	9380 N LAKE DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-1446
Country	:	US
Telephone Number	:	414-352-5669
Fax Number	:

Provider Business Practice Location Address
First Line	:	10424 W BLUEMOUND RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-4331
Country	:	US
Telephone Number	:	414-774-1794
Fax Number	:	414-774-1488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/01/2019

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