Individual
NICOLAUS D WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 KIMBER LANE, EVANSVILLE, IN 47715-2803
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 409-9925
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01074139
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
036149268
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
46334
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000955100
ANTHEM PIN
—
01
—
005120936
UNITED HEALTHCARE PROVIDER ID
—
05
—
036149268
—
IL
01
—
1232425
WELLCARE OF KY PROVIDER ID NUMBER
KY
01
—
1564011
CIGNA PROVIDER ID NUMBER
—
05
—
201249440
—
IN
05
—
7100388050
—
KY
01
—
7638957
AETNA PIN
—
01
—
CS1604700123
CARESOURCE ID
—
01
—
P01590222
RAILROAD MEDICARE
KY
01
—
P01607483
RAILROAD MEDICARE
IN
01
—
P02271332
RAILROAD MEDICARE
IL
01
—
QZZ000000165167
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
03/23/2009
Last updated
02/13/2024
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