MR. DOUGLAS EDWARD WITZKE (NPI# 1669013561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669013561 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS EDWARD WITZKE |
| Credential | R.PH |
| Practice Address |
930 Sw Abbey St Newport OR 97365-4820 |
| Mailing Address |
8553 Nw Oak Creek Dr Corvallis OR 97330-2749 |
| Practice Telephone | 5415744840 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8459 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PHARMACY LICENSE | RPH-8459 | 01 |
| Street Address |
930 SW ABBEY ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818663 | Donald W Stoddard | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2005-11-18 |
| 1568091296 | Lauren Morrison Burns | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2020-04-04 |
| 1417459108 | Michelle Cowles | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2018-03-08 |
| 1982106621 | Nayla Johnson | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-03-07 |
| 1124527791 | Nicole Jolin | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-02-08 |
| 1013449966 | Debra Pankiewicz | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-30 |
| 1760923015 | Joshua Estep | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-19 |
| 1295275667 | Robert Bennett | Physical Therapist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-03 |
| 1295279404 | Shannon Denise Brecik | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2016-12-06 |
| 1851750046 | Jennifer Rainey | Physician Assistant | 930 Sw Abbey St, Newport, OR 97365-4820 | 2016-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497121123 | Hope Guisinger | Pharmacist | 4508 Us Route 5, Newport, VT 05855-9477 | 2015-08-17 |
| 1831565662 | Stacey M Hatch | Pharmacist | 44 Moosehead Trl, Newport, ME 04953-4108 | 2015-08-17 |
| 1407264062 | Jin Young Pomeroy | Pharmacist | 305 Ne 36th St Apt 7, Newport, OR 97365-1676 | 2014-07-28 |
| 1578905188 | Benjamin Staub | Pharmacist | 27 S Coastal Hwy, Newport, OR 97325 | 2013-07-24 |
| 1912348830 | T.g.b.t.g. Enterprise Inc. | Pharmacist | 702 W Highway 25 70, Newport, TN 37821-9020 | 2013-07-08 |
| 1659633865 | Matthew Jennings Olivier | Pharmacist | 22 Weaver Ave, Newport, RI 02840-3544 | 2012-06-13 |
| 1992087712 | Joseph Anthony Mulato | Pharmacist | 290 Landing Rd, Newport, NJ 08345-2027 | 2011-09-16 |
| 1104106855 | Bryan A Dellaria | Pharmacist | 59 Waterfront Plz, Ste 2, Newport, VT 05855-4877 | 2011-08-25 |
| 1861786121 | Candice Leavell | Pharmacist | 160 Pavillion Pkwy, Newport, KY 41071-2884 | 2011-06-04 |
| 1992095855 | Ying Hsuan Lu | Pharmacist | 2336 N Coast Hwy, Newport, OR 97365-1799 | 2011-04-12 |
| Find all providers in NEWPORT | ||||
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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.