Provider Demographics
NPI:1043290091
Name:WINCHELL, CHERYL ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ELAINE
Last Name:WINCHELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:19241 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:E-10
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5024
Mailing Address - Country:US
Mailing Address - Phone:301-926-4222
Mailing Address - Fax:301-926-4224
Practice Address - Street 1:19241 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:E-10
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5024
Practice Address - Country:US
Practice Address - Phone:301-926-4222
Practice Address - Fax:301-926-4224
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD14555207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD188071300Medicaid
B93992Medicare UPIN
171141Medicare PIN