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Physician Compare National (NPI:1912196643)

HEALTHCARE PROVIDER: WANDA LYNN WINKLER NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1912196643
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5496920738
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111214000793
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WINKLER
Individual professional last name
Provider First Name WANDA
Individual professional first name
Provider Middle Name LYNN
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2007
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name OHIO VALLEY NEPHROLOGY ASSOCIATES PSC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7416981675
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 401 W WHITMER ST
Group Practice or individual's line 1 address
City CENTRAL CITY
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 423302089
Group Practice or individual's zip code (9 digits when available)
Phone Number 2707542380211
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 180038
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 OWENSBORO HEALTH REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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