David C De Witt (NPI# 1265424485, PAC ID# 9133172034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1265424485 |
| PAC ID by PECOS | 9133172034 |
| Professional Enrollment ID | I20050302000654 |
| Full Name | David C De Witt |
| Organization Legal Name | NEUROSPINE CENTER OF WISCONSIN, S.C. |
| Address |
700 N Westhaven Dr Aurora Oshkosh WI 54904-6947 |
| Phone Number | 9204565400 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1153217740 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| 520009 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 W Michaels Dr, Appleton, WI 54913-8446 | 9208828200 | NEUROSPINE CENTER OF WISCONSIN, S.C. |
| 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 | 9204565400 | NEUROSPINE CENTER OF WISCONSIN, S.C. |
| Organization Legal Name | NEUROSPINE CENTER OF WISCONSIN, S.C. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill J Buchinger | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Cindy J Hillesheim | Physical Therapy | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Randall J Schultz | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Anthony K Lee | Physician Assistant | Neurospine Center of Wisconsin, S.c. | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer A Heenan | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Ronald S Miller | Physical Therapy | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Karl A Greene | Neurosurgery | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Cason M Brown | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Thomas M Wascher | Neurosurgery | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| William S Bodemer | Orthopedic Surgery | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
| Street Address |
700 N WESTHAVEN DR AURORA |
| City | OSHKOSH |
| State | WI |
| Zip | 54904-6947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill J Buchinger | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Randall J Schultz | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Laura R Sandberg | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| Susan C Sample | Nurse Practitioner | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| Renee H Slusarski | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| Nikhath Irfana | Psychiatry | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| John T Sellers | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Julie A Paluch | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| Douglas J Hendricks | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
| Steven Richard Lande | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin E Gage | Clinical Social Worker | 2325 State Rd, Suite 44, Oshkosh, WI 54904-6333 | |
| Michelle L Cihla | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Nicole L Cote | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Lori J Schaetz | Occupational Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Eric L Koehler | Physical Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Jared M Drummond | Qualified Audiologist | 2390 State Rd, 44 Suite D, Oshkosh, WI 54904-6438 | |
| Karen M Gremminger | Medical Oncology | Thedacare Incorporated | 491 S Washburn St, Suite 100, Oshkosh, WI 54904-6733 |
| Krystina M Pischke | Family Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Jolynn M Kekke | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Brian J Robertson Dick | Physical Medicine and Rehabilitation | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Find all physicians in zip 54904 | |||
| City | OSHKOSH |
| Zip Code | 54904 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OSHKOSH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on David C De Witt.
| 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.