Provider Demographics
NPI:1215905799
Name:WINKEL, STEVEN PAUL (DO, FACP)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PAUL
Last Name:WINKEL
Suffix:
Gender:M
Credentials:DO, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ATTUCKS LN
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1809
Mailing Address - Country:US
Mailing Address - Phone:508-771-5770
Mailing Address - Fax:508-771-5774
Practice Address - Street 1:700 ATTUCKS LN
Practice Address - Street 2:SUITE 1-E
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1809
Practice Address - Country:US
Practice Address - Phone:508-771-5770
Practice Address - Fax:508-771-5774
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2100132083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2202208OtherUNITED
MA8045125OtherCIGNA
MAAA10815OtherHPHC
MA210013OtherTUFTS
MAJ25090OtherBCBS
MA0195979Medicaid
MAAA10815OtherHPHC
MA0195979Medicaid