MR. BOBBY JOHN WINNER (NPI# 1083816276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083816276 |
| Entity Type | Individual |
| Full Name | MR. BOBBY JOHN WINNER |
| Credential | LSA |
| Practice Address |
2815 Saint Paul Rivera Round Rock TX 78665-5708 |
| Mailing Address |
Po Box 1268 Hutto TX 78634-1268 |
| Practice Telephone | 5127699529 |
| Mailing Telephone | 5127699529 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2815 SAINT PAUL RIVERA |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089866 | Keren Aviv Stick | Physician Assistant | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-12-25 |
| 1982974762 | Hannah Elizabeth Vassaur | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2012-01-10 |
| 1922115005 | Dianna C Martin | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-08-24 |
| 1548376247 | Terrance R. Smith | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681 | 2006-08-23 |
| 1831206267 | Gregg A. Langston | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2006-08-23 |
| 1598779472 | Anthony P Perardi | Physician Assistant | 2000 South Mays Street, Suite 201, Round Rock, TX 78664-7580 | 2006-07-28 |
| 1912961897 | John W Merrell | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-04-17 |
| 1457315582 | Douglas W Walker | Physician Assistant | 300 University Blvd, Round Rock, TX 78665 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MR. BOBBY JOHN WINNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.