Healthcare Provider Details
I. General information
NPI: 1669434395
Provider Name (Legal Business Name): CAREY L WINKLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2006
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 N KEENE ST STE 406
COLUMBIA MO
65201-8104
US
IV. Provider business mailing address
PO BOX 843966
KANSAS CITY MO
64184-3966
US
V. Phone/Fax
- Phone: 573-499-6041
- Fax: 573-499-6091
- Phone: 573-884-3300
- Fax: 573-884-0943
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | G70078 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | 01087708A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | 2023038653 |
| License Number State | MO |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | MD600003596 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: