JEFFREY L WITT (NPI# 1073523098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073523098 |
| Entity Type | Individual |
| Full Name | JEFFREY L WITT |
| Credential | MD |
| Practice Address |
280 Commercial St Roanoke IN 46783-1045 |
| Mailing Address |
7230 Engle Road Fort Wayne IN 46804-2209 |
| Practice Telephone | 2606729285 |
| Practice Fax Number | 2606723537 |
| Mailing Telephone | 2602345400 |
| Mailing Fax Number | 2602345400 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01035243A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100257170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363343 | Jeffrey R Witt | Internal Medicine | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1405 | 2006-04-03 |
| Street Address |
280 COMMERCIAL ST |
| City | ROANOKE |
| State | IN |
| Zip Code | 46783-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324120 | Huntington Healthcare Associates, LLC | Nurse Practitioner | 9308 N 100 E, Roanoke, IN 46783 | 2018-01-11 |
| 1013425131 | Adam Kristofer Pinkerton | Nurse Practitioner | 9308 N 100 E, Roanoke, IN 46783 | 2018-01-11 |
| 1003915026 | Phillip L. Jones | Dentist | 303 East Second Street, Roanoke, IN 46783-0039 | 2006-09-22 |
| 1023632296 | Cynthia K Morris | Midwife | 155 W 8th St, Roanoke, IN 46783-1037 | 2020-06-03 |
| 1801159348 | Christopher Michael Bowers | Physical Therapy Assistant | 386 Clark St, Roanoke, IN 46783-8810 | 2012-06-20 |
| 1790258739 | Sierra N Estep | Specialist/Technologist | 366 Hillside Ave, Roanoke, IN 46783-8815 | 2019-01-02 |
| 1316245632 | Northeast Psychological Associates, LLC | Psychologist | 578 Geiger Dr, Suite A-1, Roanoke, IN 46783-8872 | 2011-03-10 |
| 1306133681 | Child's Play Behavior Analysis | Behavioral Analyst | 670 Chadings Dr, Roanoke, IN 46783-8875 | 2011-07-07 |
| 1831628254 | Sherri L Anderson | Registered Nurse | 577 Geiger Dr Ste C, Roanoke, IN 46783-8877 | 2017-06-08 |
| 1962469411 | Heather Marie Gick | Chiropractor | 577 Geiger Dr, Roanoke, IN 46783-8877 | 2006-04-27 |
| Find all providers in zip 46783 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247555 | Lisa R Zettler | Family Medicine | 1016 Primrose Ave Se, Roanoke, VA 24014-2508 | 2020-02-12 |
| 1316581366 | Dustin Powers | Family Medicine | 3347 Pamlico Dr, Roanoke, VA 24018-4938 | 2019-11-03 |
| 1932692365 | Sarah Rebecca Childress | Family Medicine | 102 Highland Ave Se Ste 303, Roanoke, VA 24013-2253 | 2018-06-11 |
| 1013327188 | The Center for Ultra Health LLC | Family Medicine | 4235 Colonial Ave, First Floor, Roanoke, VA 24018-4002 | 2014-04-29 |
| 1679904338 | Mazen Madhoun Md LLC | Family Medicine | 6002 Winnbrook Ln, Roanoke, VA 24018-7907 | 2013-12-06 |
| 1245563519 | Valley Gericare Inc | Family Medicine | 1205 Moorman Ave Nw, Roanoke, VA 24017-5739 | 2009-09-17 |
| 1003149915 | Valley Gericare Inc | Family Medicine | 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018-4374 | 2009-09-09 |
| 1679774582 | Beau James Ellenbecker | Family Medicine | 610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262-6541 | 2007-05-29 |
| 1962535278 | Jeffrey Brad Griffin | Family Medicine | 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262-6183 | 2007-03-14 |
| 1043349384 | Janet Lee Spitzer | Family Medicine | 1901 Denniston Ave Sw, Roanoke, VA 24015-2023 | 2007-03-04 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.