Gary Witucki (NPI# 1184699472, PAC ID# 8527055961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184699472 |
| PAC ID by PECOS | 8527055961 |
| Professional Enrollment ID | I20170109002108 |
| Full Name | Gary Witucki |
| Organization Legal Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Address |
101 Skaggs Rd Suite 103 Branson MO 65616-2062 |
| Phone Number | 4173357792 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 5092624320 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260094 | COX MEDICAL CENTER BRANSON |
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 | 4173357792 | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| 42 N St Joseph Ave, 103 Lakeland Center for Wound Care and Hyperbaric Medi, Niles, MI 49120-2208 | 2696838070 | LAKELAND MEDICAL PRACTICES |
| 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2699838300 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zdzislaus Joseph Wanski | Endocrinology | Skaggs Community Hospital Association | 1150 State Hwy 248 102, Branson, MO 65616-4186 |
| Allison K Baker | Nurse Practitioner | Skaggs Community Hospital Association | 1150 State Hwy 248, Suite 200, Branson, MO 65616-4186 |
| Elizabeth J Ballard | Family Medicine | Skaggs Community Hospital Association | 13852 Us Hwy 160, Forsyth, MO 65653-5156 |
| John W Huffman | Orthopedic Surgery | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Thomas J Legg | Family Medicine | Skaggs Community Hospital Association | 18452 Business, Suite 13, Reeds Spring, MO 65737-9609 |
| Cody B Hoeflicker | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Nana A Gaisie | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Prasert Vijitbenjaronk | Interventional Cardiology | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Elisabeth Choate | Nurse Practitioner | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Suite 306, Branson, MO 65616-2052 |
| Sabera Shabnam | Family Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Street Address |
101 SKAGGS RD SUITE 103 |
| City | BRANSON |
| State | MO |
| Zip | 65616-2062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight P Zabel | Nephrology | Branson Nephrology LLC | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 |
| Digantkumar Paghdal | Critical Care (intensivists) | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Templeton Smith Iii | Family Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Steven K Younger | Family Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Arijit Chowdhury | Internal Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Phyllis Johnna Manna | Physician Assistant | Branson Nephrology LLC | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 |
| Blake Alan Fulks | Family Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Mohamed H Halane | Internal Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Shawn N Usery | Family Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Justice Sakyi Arhinful | Internal Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Huffman | Orthopedic Surgery | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| James T Bonucchi | Endocrinology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 201, Branson, MO 65616-1911 |
| Mary Ann Geer | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Nicholas Anderson | Physical Medicine and Rehabilitation | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Gregory Havermale | Family Medicine | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Ashden M Vogler-blake | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Diane L Cornelison | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Dusit Adstamongkonkul | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Mark A Mandelbaum | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Christopher Lintao Valencia | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Find all physicians in zip 65616 | |||
| City | BRANSON |
| Zip Code | 65616 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRANSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary Witucki.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.