Provider Demographics
NPI:1356344485
Name:WINTHROP, STUART R (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:R
Last Name:WINTHROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:515 E MICHELTORENA ST
Mailing Address - Street 2:STE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-4224
Mailing Address - Country:US
Mailing Address - Phone:805-963-4272
Mailing Address - Fax:805-962-7342
Practice Address - Street 1:515 E MICHELTORENA ST
Practice Address - Street 2:STE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-4224
Practice Address - Country:US
Practice Address - Phone:805-963-4272
Practice Address - Fax:805-962-7342
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2008-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG34164207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4485OtherMEDICAL EYE SERVICES
TX000009998OtherBLUE CROSS BLUE SHIELD
PA539238OtherBLUE CROSS BLUE SHIELD
MI7102000CAOtherBLUE CROSS BLUE SHIELD
CAGR0068700OtherSANTA BARBARA HEALTH INIT
MD7003358OtherMAMSI LIFE & HEALTH
NECA34164OtherMUTUAL OF OMAHA
CAG34164OtherBLUE CROSS
CAZZZ42428ZOtherBLUE SHIELD
CA0665290001OtherAETNA
AR953556878OtherBLUE CROSS BLUE SHIELD
CA00G341640Medicaid
CAP00382921OtherRR MEDICARE
CAZZZ42428ZOtherBLUE SHIELD
AR953556878OtherBLUE CROSS BLUE SHIELD