Provider Demographics
NPI:1407889165
Name:WINTER, CURTIS A (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:WINTER
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 1:1104 AMHERST ST STE 200
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3340
Mailing Address - Country:US
Mailing Address - Phone:540-450-0631
Mailing Address - Fax:540-450-0631
Practice Address - Street 1:1104 AMHERST STREET SUITE 200
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3340
Practice Address - Country:US
Practice Address - Phone:540-450-0630
Practice Address - Fax:540-450-0631
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101040748207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006262180Medicaid
VA006262180Medicaid
160000386Medicare ID - Type Unspecified