DR. EVONNE MARIE WINSTON (NPI# 1912990466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912990466 |
| Entity Type | Individual |
| Full Name | DR. EVONNE MARIE WINSTON |
| Credential | M.D. |
| Practice Address |
2315 N Lake Dr Suite 701 Milwaukee WI 53211-4518 |
| Practice Telephone | 4142714211 |
| Practice Fax Number | 4142711821 |
| Mailing Telephone | 4142714211 |
| Mailing Fax Number | 4142711821 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 24340 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2315 N LAKE DR SUITE 701 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558557504 | Donna Mae Mullen | Audiologist-Hearing Aid Fitter | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-09-23 |
| 1114139409 | Keirsen Muffler | Audiologist | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-05-07 |
| 1700908902 | Lynn A Vice Psyd Sc | Psychologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-04-06 |
| 1205965761 | Herslof's, Inc | Technician/Technologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1417086901 | Paul R Herzfeld | Optometrist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1295876068 | Harry A. Easom | Specialist | 2315 N Lake Dr, #617, Milwaukee, WI 53211-4518 | 2007-02-12 |
| 1407994700 | Lynn A. Vice, Psy.d., S. C. | Psychologist | 2315 N Lake Dr, Suite 820, Milwaukee, WI 53211-4518 | 2007-02-01 |
| 1669518916 | Reproductive Specialty Center | Specialist | 2315 N Lake Dr, Suite 501, Milwaukee, WI 53211-4518 | 2007-01-30 |
| 1689733834 | Stephen Pallen | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| 1124187356 | Michael Berg | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253242 | Namita Jain | Dermatology | 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 | 2014-03-27 |
| 1487773206 | John Starling IIi | Dermatology | 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 | 2007-03-29 |
| 1659466779 | Milwaukee Skin Center,s.c. | Dermatology | 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 | 2006-10-04 |
| 1336179340 | Jason G. Rosenberg | Dermatology | 2350 N. Lake Drive, Suite 300, Milwaukee, WI 53211-4528 | 2006-07-04 |
| 1962453787 | Matthew G Fleming | Dermatology | 9200 West Wisconsin Avenue, Froedtert & Med College Clin - West, Milwaukee, WI 53226 | 2006-05-15 |
| 1386630861 | Dermatology Associates Sc | Dermatology | 324 E Wisconsin Ave, #925, Milwaukee, WI 53202-4300 | 2005-09-21 |
| 1295231769 | Michael John Knabel | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-03 |
| 1720510548 | Garrett N Mccoy | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226 | 2017-03-30 |
| 1669903555 | Sophia Magdeline Akhiyat | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
| 1508312588 | Forefront Dermatology, S.c. | Dermatology | 2121 S Kinnickinnic Ave, #4, Milwaukee, WI 53207 | 2016-08-30 |
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| 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.