MEDICARE: DR. MARK D. WINTON 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	207RI0200X	Infectious Disease Physician	36530	MO
2	207RI0200X	Infectious Disease Physician	11649	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	440003884	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127617	OTHER	MO	GROUP HEALTH PLANS
2	24081	OTHER	MO	BLUE CROSS BLUE SHIELD
3	202030003	OTHER	MO	MISSOURI CARE
4	2443	OTHER	MO	HEALTHCARE USA
5	9204000	OTHER	MO	UNITED HEALTHCARE
6	470872293	OTHER	MO	TRICARE
7	A10703	OTHER	MS	MERCY
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	176373	OTHER	MO	HEALTHLINK

General Provider Information

NPI Number	:	1316943673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK D. WINTON M.D.

Provider Business Mailing Address
First Line	:	905 HIGHLAND BLVD
Second Line	:	SUITE 4500
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6901
Country	:	US
Telephone Number	:	406-414-4210
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 HIGHLAND BLVD
Second Line	:	SUITE 4500
City	:	BOZEMAN
State	:	MT
Zip	:	59715
Country	:	US
Telephone Number	:	406-414-5200
Fax Number	:

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/21/2018

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