KIRK EDWARD WINWARD (NPI# 1962487611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962487611 |
| Entity Type | Individual |
| Full Name | KIRK EDWARD WINWARD |
| Credential | MD |
| Practice Address |
5169 Cottonwood St Ste 630 Salt Lake City UT 84107-6771 |
| Practice Telephone | 8012813030 |
| Practice Fax Number | 8012813033 |
| Mailing Telephone | 8012813030 |
| Mailing Fax Number | 8012813033 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 187019-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 187019 1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
187019-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICAID | 00341000 | 01 |
| TAX ID # | 870525682 | 01 | |
| WY | MEDICAID | 104743400 | 01 |
| MEDICARE | 000010486 | 01 | |
| RAILROAD MEDICARE | 180013350 | 01 | |
| MEDICARE | 005545102 | 01 | |
| MEDICARE | 005545202 | 01 | |
| MEDICARE | 005584702 | 01 |
| Street Address |
5169 COTTONWOOD ST STE 630 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-6771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110119 | James G Howard | Ophthalmology | 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107-6771 | 2005-08-10 |
| 1396867214 | Retina Associates of Utah, P.C. | Ophthalmology | 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107-6771 | 2007-04-03 |
| 1457338162 | Robert Choi Kwun | Ophthalmology | 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107-6771 | 2005-12-23 |
| 1053397752 | Gregory Sherman Brinton | Ophthalmology | 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107-6771 | 2005-12-15 |
| 1801870670 | Mano Swartz | Ophthalmology | 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107-6771 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595153 | Mitchell J Goff | Ophthalmology | 4400 S 700 E Ste 200, Salt Lake City, UT 84107-3053 | 2006-07-06 |
| 1285695940 | Peter Richard Hurlbut-miller | Ophthalmology | 4400 South 700 East, Ste 200, Salt Lake City, UT 84107 | 2006-03-31 |
| 1710980354 | Rocky Mountain Retina Consultants | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
| 1811990450 | David Wayne Faber | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891098679 | Ihc Health Services Inc | Ophthalmology | 544 S 400 E, St George, UT 84770-3705 | 2010-12-16 |
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on KIRK EDWARD WINWARD.
| 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.