BECKY J WITTROCK (NPI# 1548226640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548226640 |
| Entity Type | Individual |
| Full Name | BECKY J WITTROCK |
| Credential | PA |
| Practice Address |
240 North Rerick Ave Primghar IA 51245 |
| Mailing Address |
Po Box 324 Sioux City IA 51102-0324 |
| Practice Telephone | 7129572310 |
| Practice Fax Number | 7129570504 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000647 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | SIOUX VALLEY HEALTH PLAN | 22177 | 01 |
| Street Address |
240 NORTH RERICK AVE |
| City | PRIMGHAR |
| State | IA |
| Zip Code | 51245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445423 | Shailesh Dhirubhai Desai | Family Medicine | 240 North Rerick Ave, Primghar, IA 51245 | 2006-04-11 |
| 1306880570 | Baum Harmon Mercy Hospital | Clinic/Center | 240 North Rerick Ave, Primghar, IA 51245 | 2006-06-16 |
| 1265498372 | Andrea D Crew | Physician Assistant | 240 North Rerick Ave, Primghar, IA 51245 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649387333 | Family First Dental of Primghar PC | Dentist | 135 1st Street Nw, Box 278, Primghar, IA 51245 | 2006-08-25 |
| 1760426431 | Baum Harmon Mercy Hospital | Physician Assistant | 255 North Welch Ave, Primghar, IA 51245 | 2006-06-15 |
| 1235135666 | County of Obrien | Public Health or Welfare | 155 S Hayes Avenue, Primghar, IA 51245 | 2005-06-21 |
| 1942420864 | Baum Harmon Mercy Hospital | Specialist | 255 N Welch Ave, Primghar, IA 51245 | 2007-04-26 |
| 1295877520 | Primghar Chiropractic Center Inc | Chiropractor | 215 1st St Ne, Box 178, Primghar, IA 51245 | 2007-02-13 |
| 1932278967 | Primghar | Ambulance | 360 3rd St. Se, Primghar, IA 51245-0039 | 2006-11-06 |
| 1396814810 | Jean E. Irwin | Dentist | 135 1st St. Nw, Box 278, Primghar, IA 51245-0278 | 2006-11-07 |
| 1275728966 | O'brien County General Relief | Case Management | 155 S. Hayes Ave., Primghar, IA 51245-0525 | 2007-09-06 |
| 1487873584 | Baum Harmon Mercy Hospital | Specialist | 255 N Welch Ave, Primghar, IA 51245-0528 | 2007-04-25 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers in zip 51245 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426431 | Baum Harmon Mercy Hospital | Physician Assistant | 255 North Welch Ave, Primghar, IA 51245 | 2006-06-15 |
| 1265498372 | Andrea D Crew | Physician Assistant | 240 North Rerick Ave, Primghar, IA 51245 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| Find all providers with the same taxonomy | ||||
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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.