Provider Demographics
NPI:1396710158
Name:WINIARSKI, ANNE M (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:WINIARSKI
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 1:16727 FOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-9609
Mailing Address - Country:US
Mailing Address - Phone:303-717-4883
Mailing Address - Fax:
Practice Address - Street 1:16727 FOXWOOD LN
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-9609
Practice Address - Country:US
Practice Address - Phone:303-717-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31219207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01312198Medicaid
CO930015134OtherRR MEDICARE
COCP2238Medicare PIN
COCOA100346Medicare PIN
CO930015134OtherRR MEDICARE