Provider Demographics
NPI:1255450995
Name:WINIARSKA, MAGDALENA (MD)
Entity type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:
Last Name:WINIARSKA
Suffix:
Gender:F
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:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-344-1900
Mailing Address - Fax:859-344-4632
Practice Address - Street 1:651 CENTRE VIEW BLVD
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5423
Practice Address - Country:US
Practice Address - Phone:859-344-1900
Practice Address - Fax:859-344-4632
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42759207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100140450Medicaid
OH3107846Medicaid
KYP00856631OtherRAILROAD MEDICARE
IN201156530Medicaid
KYP00856631OtherRAILROAD MEDICARE