Provider Demographics
NPI:1275628398
Name:WINTERS, CHRISTOPHER (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:WINTERS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12188B N MERIDIAN ST STE 330
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4900
Mailing Address - Country:US
Mailing Address - Phone:317-208-3890
Mailing Address - Fax:317-575-6909
Practice Address - Street 1:12188B N MERIDIAN ST STE 330
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4900
Practice Address - Country:US
Practice Address - Phone:317-208-3890
Practice Address - Fax:317-575-6909
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000883213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200242780Medicaid
480031612Medicare PIN
IN151560C7Medicare PIN
P00212181Medicare PIN
IN200242780Medicaid
IN151560C7Medicare PIN
480031612Medicare PIN