Provider Demographics
NPI:1083665061
Name:WINKLER, CHARLES F (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:F
Last Name:WINKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7564
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-7564
Mailing Address - Country:US
Mailing Address - Phone:270-554-0011
Mailing Address - Fax:270-554-6540
Practice Address - Street 1:100 KIANA CT
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-6787
Practice Address - Country:US
Practice Address - Phone:270-554-0011
Practice Address - Fax:270-554-6540
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000020188207RH0003X
KY17391207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000329300OtherANTHEM BCBS OF KY
KY0910601OtherUMWA
KYC70713OtherBLUEGRASS FAMILY HEALTH
KY069193OtherHEALTH ALLIANCE
TN4079538OtherBCBS OF TN
KY64173917Medicaid
TN3048083Medicaid
TN5007956OtherTLC-FAMILYCAREHLTHPLAN
TN000000236012OtherUNISON HEALTH MEDICARE ADVANTAGE
020248399OtherDEPT OF LABOR
KY179570OtherHEALTH LINK
KY2968OtherCHA HEALTH
KYK098680Medicare PIN
TN000000236012OtherUNISON HEALTH MEDICARE ADVANTAGE
TN3048083Medicaid
TN4079538OtherBCBS OF TN
KYC70713Medicare UPIN