Provider Demographics
NPI:1548310634
Name:STUART R WINTHROP MD INC
Entity type:Organization
Organization Name:STUART R WINTHROP MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:R
Authorized Official - Last Name:WINTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-963-4272
Mailing Address - Street 1:515 E MICHELTORENA ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2257
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:SUITE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2257
Practice Address - Country:US
Practice Address - Phone:805-963-4272
Practice Address - Fax:805-962-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34164207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA539238OtherBLUE CROSS BLUE SHIELD
MD7003358OtherMAMSI LIFE & HEALTH
MI7102000CAOtherBLUE CROSS BLUE SHIELD
NECA34164OtherMUTUAL OF OMAHA
CA0665290001OtherAETNA
CA4485OtherMEDICAL EYE SERVICES
CAG34164OtherBLUE CROSS
CAGR0067800Medicaid
CAZZZ42428ZOtherBLUE SHIELD
CACD5255OtherRR MEDICARE
TX000009998OtherBLUE CROSS BLUE SHIELD
MI7102000CAOtherBLUE CROSS BLUE SHIELD
CA4485OtherMEDICAL EYE SERVICES
MD7003358OtherMAMSI LIFE & HEALTH