Provider Demographics
NPI:1528004256
Name:WINDER, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:WINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5800 MONROE ST
Mailing Address - Street 2:STE A9
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2263
Mailing Address - Country:US
Mailing Address - Phone:419-885-5755
Mailing Address - Fax:419-885-4493
Practice Address - Street 1:5800 MONROE ST
Practice Address - Street 2:STE A9
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2263
Practice Address - Country:US
Practice Address - Phone:419-885-5755
Practice Address - Fax:419-885-4493
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35041807W207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0368865Medicaid
OH030005166OtherRAILROAD MEDICARE PIN
A77759Medicare UPIN
OH0838698Medicare PIN