OWEN C DEWITT


Address: 108 Legion Dr Ste C, Las Vegas, NM 87701-4893
Phone: 5054268010

OWEN C DEWITT (NPI# 1487757480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487757480
Entity Type Individual
Full Name OWEN C DEWITT
Credential M.D.
Practice Address 108 Legion Dr Ste C
Las Vegas
NM 87701-4893
Practice Telephone 5054268010
Practice Fax Number 5054268011
Mailing Telephone 5054268010
Mailing Fax Number 5054268011
Enumeration Date 2006-09-06
Last Update Date 2019-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist G3287 TX Other Service Providers
Y 207X00000X Orthopaedic Surgery NM2012-0610 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 110720304 05
NM NM MEDICAL LICENSE MD2012-0610 01
TX RAILROAD MEDICARE P00222874 01
NM 47485817 05

Office Location

Street Address 108 LEGION DR STE C
City LAS VEGAS
State NM
Zip Code 87701-4893

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1700327384 Anastacia Sena Jaramillo Psychologist 126 Silva Ave., Las Vegas, NM 87701 2017-03-15
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1023409521 Ambercare Medical Supply Durable Medical Equipment & Medical Supplies 1747 N Grand Ave, Las Vegas, NM 87701 2015-02-05
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578804787 Bruce Mcneil Ballard Orthopaedic Surgery 2716 Port of Call Dr, Las Vegas, NV 89128-7151 2013-03-13
1366604290 Daniel T Kokmeyer Orthopaedic Surgery 9321 W. Sunset Rd., Las Vegas, NV 89148 2008-07-01
1811178114 Hugh S Selznick Md Pa Orthopaedic Surgery 3006 So Maryland Parkway, 570, Las Vegas, NV 89109 2007-11-15
1386834570 Vladimir Aleksandrovich Sinkov Orthopaedic Surgery 1627 E Windmill Ln Ste 100, Las Vegas, NV 89123-1911 2007-07-25
1215141072 Richard Michael Dix Orthopaedic Surgery 2080 East Flamingo Rd, Suite 301, Las Vegas, NV 89119 2007-05-10
1225175524 Brian James Carr Orthopaedic Surgery 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117 2007-01-30
1972694230 David Arthur Kaplan Orthopaedic Surgery 4960 N Cimarron Rd, Las Vegas, NV 89149-4752 2006-09-28
1689784852 Andrew M. Cash Orthopaedic Surgery 9339 W Sunset Rd, Ste 100, Las Vegas, NV 89148-4847 2006-08-30
1750311957 Robert Wayne Patti Orthopaedic Surgery 2080 E Flamingo, #301, Las Vegas, NV 89119 2006-07-03
1841229762 Orthopaedic Specialists of Nevada Orthopaedic Surgery 3233 W. Charleston Blvd, Suite 101, Las Vegas, NV 89102 2006-07-02
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

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.

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