Individual ProviderStephen A WinogradInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6707 N. 19th Avenue, Suite 200, Phoenix, AZ 85015(602) 249-4750PECOS EnrollmentBased on the most recent information from CMS, provider Stephen A Winograd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1760463343Provider TypeIndividualFull NameWinograd, Stephen ACredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/9/2005Last Updated3/7/2023Contact InformationPractice LocationPractice Address6707 N. 19th Avenue, Suite 200, Phoenix, AZ 85015Phone(602) 249-4750Fax(602) 249-4814Mailing LocationMailing Address6707 N. 19th Avenue, Suite 200, Phoenix, AZ 85015Phone(602) 249-4750Fax(602) 249-4814Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense11498ArizonaProvider IdentifiersIDDescriptionIssuerID218140DescriptionMedicaidIssuerUnlistedArizona