DAVID CHARLES DEWITT (NPI# 1265424485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265424485 |
| Entity Type | Individual |
| Full Name | DAVID CHARLES DEWITT |
| Credential | MD |
| Practice Address |
5320 W Michaels Drive Appleton WI 54913 |
| Practice Telephone | 9208828200 |
| Practice Fax Number | 9208828210 |
| Mailing Telephone | 9208828200 |
| Mailing Fax Number | 9208828210 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
43873-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 43873-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34616400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215094594 | David Wayne Dewitt | Physician Assistant | 15609 Ronald W Reagan Blvd Bldg B120, Leander, TX 78641-1471 | 2007-01-03 |
| 1780677807 | David D Dewitt | Nurse Practitioner | 6332 Futurity Dr, Harrah, OK 73045-8912 | 2005-08-24 |
| 1881247153 | David Anthony Dewitt | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2019-07-16 |
| 1083977813 | David James Dewitt | Obstetrics & Gynecology | 330 Barclay Ave Ne, Suite 102, Grand Rapids, MI 49503-2556 | 2012-06-18 |
| 1558527150 | David Mark Dewitt | Marriage & Family Therapist | 331 S Main St, Washington, PA 15301-6367 | 2008-08-03 |
| 1013084854 | David Oren Dewitt | Physician Assistant | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2006-11-29 |
| 1548372139 | David E. Dewitt | Dentist | 4841 W 4th Ave, Hialeah, FL 33012-3939 | 2006-08-31 |
| Street Address |
5320 W MICHAELS DRIVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363778 | Pam E Verkuilen | Nurse Practitioner | 5320 W Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
| 1396999652 | Cason M Brown | Physical Medicine & Rehabilitation | 5320 W Michaels Drive, Appleton, WI 54913-8446 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912155250 | Eric Jon Stanelle | Surgery | 1818 N Meade St # 240w, Appleton, WI 54911-3454 | 2008-08-28 |
| 1225022254 | George R Stanis | Surgery | 1501 S Madison St, Appleton, WI 54915-1846 | 2005-09-06 |
| 1447242573 | Thomas M Wascher | Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1376535492 | Karl A Greene | Surgery | 5320 West Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
| 1437412699 | Alexander Warren Wilkes | Surgery | 1818 N Meade St # 240w, Appleton, WI 54911-3454 | 2012-06-21 |
| 1164746301 | Janeil Mitchell | Surgery | 1818 N Meade St # 240w, Appleton, WI 54911-3454 | 2010-03-17 |
| 1174767271 | Ping D Lady | Surgery | 1501 S Madison St, Appleton, WI 54915-1846 | 2009-04-21 |
| 1134318181 | Beth R Krieger | Surgery | 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 | 2007-10-16 |
| 1376594952 | Fox Valley Surgical Associates Ltd | Surgery | 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 | 2006-05-16 |
| 1720036387 | Michael Jason Black | Surgery | 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3496 | 2006-05-05 |
| Find all providers in APPLETON | ||||
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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.