MEDICARE: STUART R WINTHROP MD INC

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	207W00000X	Ophthalmology Physician	G34164	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	CD5255	OTHER	CA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	539238	OTHER	PA	BLUE CROSS BLUE SHIELD
2	7003358	OTHER	MD	MAMSI LIFE & HEALTH
3	7102000CA	OTHER	MI	BLUE CROSS BLUE SHIELD
4	CA34164	OTHER	NE	MUTUAL OF OMAHA
5	0665290001	OTHER	CA	AETNA
6	4485	OTHER	CA	MEDICAL EYE SERVICES
7	G34164	OTHER	CA	BLUE CROSS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	ZZZ42428Z	OTHER	CA	BLUE SHIELD
11	000009998	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1548310634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUART R WINTHROP MD INC

Provider Business Mailing Address
First Line	:	515 E MICHELTORENA ST
Second Line	:	SUITE D
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-2257
Country	:	US
Telephone Number	:	805-963-4272
Fax Number	:	805-962-7342

Provider Business Practice Location Address
First Line	:	515 E MICHELTORENA ST
Second Line	:	SUITE D
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-2257
Country	:	US
Telephone Number	:	805-963-4272
Fax Number	:	805-962-7342

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STUART R WINTHROP
Credential	:	M.D.
Telephone Number	:	805-963-4272

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/25/2008

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