DR. ROSS ALAN WITTERS (NPI# 1639140684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639140684 |
| Entity Type | Individual |
| Full Name | DR. ROSS ALAN WITTERS |
| Credential | M.D. |
| Practice Address |
200 Brule Street Fort Knox KY 40121 |
| Mailing Address |
175 Cowley Crossing Ln Elizabethtown KY 42701-4482 |
| Practice Telephone | 2543172219 |
| Mailing Telephone | 2543172219 |
| Enumeration Date | 2006-01-29 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 23109 | NE | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Cowley Crossing Ln, Elizabethtown, KY 427014482 | 2543172219 | |
| 220 Brookvalley Dr, Manhattan, KS 665026659 | 7854106813 |
| Street Address |
200 BRULE STREET |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891188702 | Tiffany S. Basham | Nurse Practitioner | 200 Brule Street, Fort Knox, KY 40121 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361090 | Isiah Galarza | Military Health Care Provider | 5812a Billhymer St, Fort Knox, KY 40121-2028 | 2019-02-04 |
| 1245277524 | Amber Simecek | Military Health Care Provider | 853 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-2727 | 2006-06-02 |
| 1659741593 | Nathanael Harney | Military Health Care Provider | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2015-10-05 |
| 1760639025 | Maryanne Elizabeth Hostetter | Military Health Care Provider | 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 | 2008-08-19 |
| 1346411568 | Joanna Rae Thompson | Military Health Care Provider | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2008-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605932 | Alexandros Athanasopoulos | Military Health Care Provider | 650 Joel Dr Rm 1be01d, Fort Campbell, KY 42223-5349 | 2018-10-19 |
| 1295159622 | Mary Louise Chaffins | Military Health Care Provider | 160 Moore Dr, Suite 201, Lexington, KY 40503-2932 | 2014-02-05 |
| 1073958088 | Adam R Pattyn | Military Health Care Provider | Blanchfield Army Community Hosptial, 650 Joel Drive, Fort Campbell, KY 42223 | 2013-05-03 |
| 1346357266 | Larry R Arbaugh | Military Health Care Provider | 111 Susan Ave, Hopkinsville, KY 42240-4951 | 2006-08-24 |
| 1245206416 | Kao Bin Chou | Military Health Care Provider | 3208 Indiana Ave, Fort Campbell, KY 42223-6215 | 2006-02-27 |
| 1487264503 | Andrew Porter | Military Health Care Provider | 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 | 2020-08-04 |
| 1518316850 | Samone Franzese | Military Health Care Provider | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-06-07 |
| 1225457252 | Tracy Knutson | Military Health Care Provider | 1704 N Dixie Hwy # 913, Elizabethtown, KY 42701-9449 | 2014-04-07 |
| 1205114972 | Deirdre Ann Schluckebier | Military Health Care Provider | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2011-07-29 |
| 1649582685 | Alain Michael Pagaduan Abellada | Military Health Care Provider | 5979 Desert Storm Ave, Fort Campbell, KY 42223 | 2010-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ROSS ALAN WITTERS.
| 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.