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NPI Code Detail

MEDICARE: DR. THOMAS R WINSTON MD

MEDICARE: DR. THOMAS R WINSTON MD
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
1207P00000XEmergency Medicine PhysicianR9C13MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417971771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS R WINSTON MD
Provider Business Mailing Address
First Line : 1431 CENTERPOINT BLVD
Second Line : SUITE 100
City : KNOXVILLE
State : TN
Zip : 37932-1984
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1559 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1316
Country : US
Telephone Number : 865-985-7212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 02/16/2012

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