Provider Demographics
NPI:1508865056
Name:WINKFIELD HUGHES, MISTIE A (CNM)
Entity Type:Individual
Prefix:
First Name:MISTIE
Middle Name:A
Last Name:WINKFIELD HUGHES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH07642176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH344428256OtherBEECHSTREET
OH05225OtherPARAMOUNT
OH344428256OtherFRONTPATH
MI4602973Medicaid
OH000000326172OtherANTHEM
OH2467843Medicaid
MI4602964Medicaid
MI4602973OtherMI MEDCAID
OHQ11410Medicare UPIN
OH2467843Medicaid
OH000000326172OtherANTHEM