MEDICARE: ROLAND H WINTER MD

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	207X00000X	Orthopaedic Surgery Physician	G54873	CA
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	G54873	CA
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	G54873	CA
4	207XX0801X	Orthopaedic Trauma Physician	G54873	CA

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
2	C6P159090	OTHER		CGP

General Provider Information

NPI Number	:	1629023874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND H WINTER MD

Provider Business Mailing Address
First Line	:	2488 N CALIFORNIA ST
Second Line	:	ALPINE ORTHOPAEDIC MEDICAL GROUP INC
City	:	STOCKTON
State	:	CA
Zip	:	95204-5508
Country	:	US
Telephone Number	:	209-948-3333
Fax Number	:	209-948-2665

Provider Business Practice Location Address
First Line	:	2488 N CALIFORNIA ST
Second Line	:	ALPINE ORTHOPAEDIC MEDICAL GROUP INC
City	:	STOCKTON
State	:	CA
Zip	:	95204-5508
Country	:	US
Telephone Number	:	209-948-3333
Fax Number	:	209-948-2665

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/11/2025

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Directions to “ ROLAND H WINTER MD” Practice Location

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