Individual
KIRK EDWARD WINWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 281-3030
(801) 281-3033
Mailing address
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 281-3030
(801) 281-3033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
187019 1205
UT
207W00000X
Ophthalmology Physician
187019-1205
UT
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
187019-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010486
MEDICARE
—
01
—
00341000
MEDICAID
ID
01
—
005545102
MEDICARE
—
01
—
005545202
MEDICARE
—
01
—
005584702
MEDICARE
—
01
—
104743400
MEDICAID
WY
01
—
180013350
RAILROAD MEDICARE
—
01
—
870525682
TAX ID #
—
Enumeration date
12/14/2005
Last updated
02/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us