MEDICARE: SARAH BETH WINWARD PA-C

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	363A00000X	Physician Assistant	025848	NY
2	363A00000X	Physician Assistant	11240	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1629624143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BETH WINWARD PA-C

Provider Business Mailing Address
First Line	:	18444 N 25TH AVE STE 310
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-1266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 N WINDSONG DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-2255
Country	:	US
Telephone Number	:	866-974-2673
Fax Number	:	866-939-2673

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

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	01/13/2026

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