Individual
JACK CHRISTIAN WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 VETERANS MEMORIAL BLVD STE 140, METAIRIE, LA 70002-6139
(504) 584-6990
(504) 584-6980
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 215-1281
(225) 215-1380
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD.019976
LA
208800000X
Urology Physician
019976
LA
208800000X
Urology Physician
MD.019976
LA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
MD.019976
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09673036
—
MS
05
—
1660426
—
LA
01
—
5W2047627
RAILROAD MEDICARE
LA
Enumeration date
07/06/2006
Last updated
03/09/2026
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