Provider Demographics
NPI:1063482289
Name:WINER, JOEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:W
Last Name:WINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-741-3598
Practice Address - Street 1:228 SAINT CHARLES WAY STE 300
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4661
Practice Address - Country:US
Practice Address - Phone:717-812-5400
Practice Address - Fax:717-741-3598
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040236L207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA38610OtherGEISINGER
PA50060997OtherCAPITAL BLUE CROSS-WMG
PA033266OtherJOHNS HOPKINS
PA3114623OtherMAMSI-WMG
PA4568518OtherAETNA
PA571809OtherHIGHMARK BLUE SHIELD
PA0505012000OtherAMERIHEALTH 65 PA
MD889459OtherCAREFIRST MD BCBS
PA186767OtherUNISON-WMG
PA7671809OtherGATEWAY-WMG
PA001288687Medicaid
PA20054028OtherAMERIHEALTH MERCY-WMG
PA033266OtherJOHNS HOPKINS
PA38610OtherGEISINGER
PAE85307Medicare UPIN