A straightforward referral pathway.

Scope of practice

Dr. Winograd evaluates and treats adult brain, spine, and peripheral nerve conditions: spine trauma, cranial trauma, brain and spine tumors (primary and metastatic), minimally invasive degenerative spine, and selected spine deformity. Neurosurgical oncology fellowship training supports depth in tumor cases including awake craniotomy and endonasal pituitary surgery.

Out of scope

We do not perform pediatric neurosurgery, functional neurosurgery (DBS, epilepsy-focused surgery), or endovascular / interventional neurosurgery (thrombectomy, coiling, embolization). Patients in those categories will still be seen and referred appropriately to a sub-specialist we trust.

How to refer

• Fax: (442) 333-1277 — include clinical notes and any pertinent imaging reports
• Phone: (442) 273-5056 — our office can route urgent questions directly
• Email: ewinograd@northcountyneuro.com — no PHI please

What to expect back

• New-patient appointments typically within 1–2 weeks of receipt
• Urgent cases triaged same day
• Consult letters and operative reports returned to the referring provider
• Coordination with PT, pain management, and medical oncology where clinically relevant

Hospital privileges

Admitting and operating privileges at Sharp Grossmont, Sharp Memorial, Scripps Mercy, Scripps La Jolla, Scripps Encinitas, Tri-City Medical Center, Palomar Medical Center, and Paradise Valley Hospital.

Patients can also self-refer through the contact form; we'll still loop you in.