MEDICARE: RICHARD W WINGER D.O.

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	207P00000X	Emergency Medicine Physician	34-005798	OH
2	207Q00000X	Family Medicine Physician	34.005798	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01387676	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110094849	OTHER	OH	RR MCR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861468597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD W WINGER D.O.

Provider Business Mailing Address
First Line	:	8701 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1066
Country	:	US
Telephone Number	:	937-558-3300
Fax Number	:	937-558-3308

Provider Business Practice Location Address
First Line	:	8701 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1066
Country	:	US
Telephone Number	:	937-558-3300
Fax Number	:	937-558-3313

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	11/13/2020

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Directions to “ RICHARD W WINGER D.O.” Practice Location

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