ASHLEY A. WITTLER


Address: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226-5368
Phone: 6182342390

ASHLEY A. WITTLER (NPI# 1982045514) 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) 1982045514
Entity Type Individual
Full Name ASHLEY A. WITTLER
Credential NP
Practice Address 4600 Memorial Dr
Ste. 400
Belleville
IL 62226-5368
Practice Telephone 6182342390
Practice Fax Number 6182349936
Mailing Telephone 6182342390
Mailing Fax Number 6182349936
Enumeration Date 2013-07-11
Last Update Date 2014-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
209010684 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL IDFPR 209010684 01

Office Location

Street Address 4600 MEMORIAL DR
STE. 400
City BELLEVILLE
State IL
Zip Code 62226-5368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245234988 Ellen Middendorf Family Medicine 4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368 2005-06-10
1922594142 Keli Nicole Keener Specialist/Technologist 4600 Memorial Dr, Belleville, IL 62226-5368 2018-07-11
1952849770 Kendra Jane Green Nurse Practitioner 4600 Memorial Dr, Ste 80, Belleville, IL 62226-5359 2017-02-01
1427504042 Catherine Bennett Nurse Practitioner 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2016-09-01
1558738237 Christina Moore Physician Assistant 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2015-08-28
1588056147 Miranda Boeckman Physician Assistant 4600 Memorial Dr, Belleville, IL 62226-5368 2015-02-19
1033510284 Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery Surgery 4600 Memorial Dr, Suite120, Belleville, IL 62226-5368 2014-09-08
1548680267 Msa Alliance, LLC Surgery 4600 Memorial Dr, Suite W2, Belleville, IL 62226-5368 2014-04-21
1770925760 Msa Alliance, LLC Internal Medicine 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2013-07-19
1619224235 James V. Vest, Md, Ltd Internal Medicine 4600 Memorial Dr, Ste. 120, Belleville, IL 62226-5368 2012-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639778160 Roxanna Lee Gunnels Nurse Practitioner 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 2020-10-26
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1497314371 Medi-plex Hospice of Illinois, LLC Registered Nurse 8 Park Place, Suite #3, Swansea, IL 62226 2019-06-13
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1295258903 Catherine Espino Pharmacist 11 Chambers Blvd, Swansea, IL 62226 2017-07-25
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295226728 Cortney Elizabeth Patrick Nurse Practitioner 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 2018-05-21
1003873647 Cindy L. Auld Nurse Practitioner 4600 Memorial Dr, Ste. 400, Belleville, IL 62226-5368 2006-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396308458 Alexandra H Pape Nurse Practitioner 10260 191st St Ste 100, Mokena, IL 60448-8802 2019-04-15
1306313754 Klaudia Dorota Niedzwiecki Nurse Practitioner 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 2018-10-24
1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1124464110 Michelle Yonkus Nurse Practitioner 500 E 22nd St Ste A, Lombard, IL 60148-6102 2013-05-16
1457600306 Julie Duff Nurse Practitioner 5425 W. Addison, Chicago, IL 60641 2012-09-06
1891067765 Cynthia Ann Wildemuth Nurse Practitioner 2112 25th Avenue, Rock Island, IL 61201 2012-02-07
1174803753 Patricia J Fiorito Nurse Practitioner 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 2011-08-26
1619102456 Vickie Eileen Ellis Nurse Practitioner 201 W. Kenyon Rd, Champaign, IL 61820-7892 2009-05-22
1942465554 Maryann Ulery Nurse Practitioner 3 Austrian Ct, Lake In The Hills, IL 60156-6515 2008-07-23
1467666453 Shelly Sinatra Nurse Practitioner 3310 W. Main St, Suite 200, St. Charles, IL 60175 2007-05-09
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Competitor

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City BELLEVILLE
Zip Code 62226

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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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