Provider Demographics
NPI:1124111893
Name:WINSTON, JAMES BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARRY
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9380 N LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1446
Mailing Address - Country:US
Mailing Address - Phone:414-352-5669
Mailing Address - Fax:
Practice Address - Street 1:10424 W BLUEMOUND RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4331
Practice Address - Country:US
Practice Address - Phone:414-774-1794
Practice Address - Fax:414-774-1488
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26078-0202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30631300Medicaid
WIE16102Medicare UPIN