DR. ROBERT M. DEWITT (NPI# 1861603284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861603284 |
| Entity Type | Individual |
| Full Name | DR. ROBERT M. DEWITT |
| Credential | M.D. |
| Practice Address |
2200 Bergquist Dr Lackland Afb TX 78236-9907 |
| Mailing Address |
9414 Mariposa Pass San Antonio TX 78251-4984 |
| Practice Telephone | 2102925282 |
| Mailing Telephone | 8046774259 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101243215 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316245111 | Robert Dustin Dewitt | Adult Companion | 16111 Plummer St Bldg 10b-a109, North Hills, CA 91343-2036 | 2011-03-03 |
| 1962616573 | Robert H Dewitt | Dentist | 8310 Old Courthouse Rd Ste B, Vienna, VA 22182-3872 | 2007-05-10 |
| 1639120348 | Robert Morrison Dewitt Jr. | Dentist | 50 Main St, Newcastle, ME 04553-3819 | 2006-05-15 |
| 1972589737 | Robert Dewitt | Internal Medicine | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-22 |
| 1023009263 | Robert Chance Dewitt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3311 Prescott Rd, Suite 202, Alexandria, LA 71301-3900 | 2005-11-04 |
| Street Address |
2200 BERGQUIST DR |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-9907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047959 | Evan M Dilley | Military Health Care Provider | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2020-03-11 |
| 1760737944 | Simmie Douthit | Pharmacist | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 | 2012-07-13 |
| 1275834186 | Arnaldo Javier Figueroa | Pharmacist | 2200 Bergquist Dr, 59psq/sgvpi, Lackland Afb, TX 78236 | 2010-11-09 |
| 1629217500 | Roger W Finley | Respiratory Therapist, Certified | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2009-02-17 |
| 1538308713 | Christopher P Flores | Respiratory Therapist, Certified | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2009-02-12 |
| 1720232549 | Christina Mcquaide | Pharmacist | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2008-11-06 |
| 1881843738 | Jeffrey Scott Woolford | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2008-09-16 |
| 1932362415 | Joseph David Novak | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Whmc/ge, Suite 1, Lackland Afb, TX 78236-9907 | 2008-07-06 |
| 1578723144 | Bronwyn Louis Young II | Emergency Medicine | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2008-06-16 |
| 1558536128 | Christopher Albert Meinhart | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Whmc/ge Suite 1, Lackland Afb, TX 78236-9907 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154422384 | Joanne Balintona | Radiology | 2200 Bergquist Drive Suite 1, Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236-9908 | 2006-09-26 |
| 1336130251 | Lezlie Rene Kuebker | Radiology | 2200 Bergquist Drive, Ste 1, Wilford Hall Medical Center, 59th Medical Wing, Lackland Afb, TX 78236-9908 | 2005-10-31 |
| 1144434820 | David James Oettel | Radiology | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | 2007-05-10 |
| 1235194168 | Nathan Cecava | Radiology | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2006-04-20 |
| 1629056916 | Paul Michael Sherman | Radiology | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.