MEDICARE: DR. JOEL W WINER 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	207T00000X	Neurological Surgery Physician	MD040236L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38610	OTHER	PA	GEISINGER
2	50060997	OTHER	PA	CAPITAL BLUE CROSS-WMG
3	033266	OTHER	PA	JOHNS HOPKINS
4	3114623	OTHER	PA	MAMSI-WMG
5	4568518	OTHER	PA	AETNA
6	571809	OTHER	PA	HIGHMARK BLUE SHIELD
7	0505012000	OTHER	PA	AMERIHEALTH 65 PA
8	889459	OTHER	MD	CAREFIRST MD BCBS
9	186767	OTHER	PA	UNISON-WMG
10	7671809	OTHER	PA	GATEWAY-WMG
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	20054028	OTHER	PA	AMERIHEALTH MERCY-WMG

General Provider Information

NPI Number	:	1063482289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL W WINER M.D.

Provider Business Mailing Address
First Line	:	1803 MOUNT ROSE AVE
Second Line	:	SUITE B3
City	:	YORK
State	:	PA
Zip	:	17403-3026
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:	717-741-3598

Provider Business Practice Location Address
First Line	:	228 SAINT CHARLES WAY STE 300
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-4661
Country	:	US
Telephone Number	:	717-812-5400
Fax Number	:	717-741-3598

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	03/07/2018

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