Provider Demographics
NPI:1689848244
Name:CAPE AND ISLANDS OCCUPATIONAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:CAPE AND ISLANDS OCCUPATIONAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:WINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:508-771-5770
Mailing Address - Street 1:700 ATTUCKS LN
Mailing Address - Street 2:SUITE
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1809
Mailing Address - Country:US
Mailing Address - Phone:508-771-5770
Mailing Address - Fax:
Practice Address - Street 1:700 ATTUCKS LN
Practice Address - Street 2:SUITE 1-E
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1809
Practice Address - Country:US
Practice Address - Phone:508-771-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2100132083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8045125OtherCIGNA
MAJ25090OtherBLUE SHIELD
MA0195979Medicaid
MA2202208OtherUNITED
MAAA10815OtherHARVARD PILGRIM HEALTH CA
MA210013OtherTUFTS
MA210013OtherTUFTS
MA2202208OtherUNITED