1881891299 NPI number — DR. JASON AARON WINSTON M.D.

Table of content: DR. JASON AARON WINSTON M.D. (NPI 1881891299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881891299 NPI number — DR. JASON AARON WINSTON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WINSTON
Provider First Name:
JASON
Provider Middle Name:
AARON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881891299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5760 LINDERO CANYON RD # 1081
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTLAKE VILLAGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91362-4088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-380-5022
Provider Business Mailing Address Fax Number:
805-220-1267

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8000 RESEARCH FOREST DR
Provider Second Line Business Practice Location Address:
STE 115-342
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77382-1504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-380-5022
Provider Business Practice Location Address Fax Number:
805-220-1267
Provider Enumeration Date:
06/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A113789 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)