Provider Demographics
NPI:1184732976
Name:WINSTEAD, NATHANIEL SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:SCOTT
Last Name:WINSTEAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 HOSPITAL DR STE 405
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2018
Mailing Address - Country:US
Mailing Address - Phone:251-990-0360
Mailing Address - Fax:251-990-0366
Practice Address - Street 1:188 HOSPITAL DR STE 405
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2018
Practice Address - Country:US
Practice Address - Phone:251-990-0360
Practice Address - Fax:251-990-0366
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.025020207RG0100X
AL25945207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1424986Medicaid
MS02428567Medicaid
MS02428567Medicaid
LA4F0877061Medicare PIN
LA4F087Medicare PIN
LA4F0876629Medicare PIN