JOHN T WITTE


Address: 2235 E Gala St, Meridian, ID 83642-8026
Phone: 2088873724

JOHN T WITTE (NPI# 1063407641) 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) 1063407641
Entity Type Individual
Full Name JOHN T WITTE
Credential M.D.
Practice Address 2235 E Gala St
Meridian
ID 83642-8026
Mailing Address 425 W Bannock St
Boise
ID 83702-6035
Practice Telephone 2088873724
Practice Fax Number 2088873724
Mailing Telephone 2083431702
Mailing Fax Number 2083427042
Enumeration Date 2005-09-20
Last Update Date 2018-09-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
M-5529 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE SHIELD OF IDAHO 000010005904 01
ID RAILROAD MEDICARE 100001868 01
ID BLUE CROSS OF IDAHO 55293 01
ID 002733600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1200 Garrity Blvd, Nampa, ID 836873402 2083436458 2083435031
425 W Bannock St, Boise, ID 837026035 2083436458 2083435031
9850 St Lukes Dr, Nampa, ID 836877912 2083436458 2083435031

Other Providers JOHN WITTE

NPI Name Taxonomy Address Enumeration
1629125489 John Brian Witte Dentist 3035 Matlock Rd, Arlington, TX 76015-2902 2007-01-04

Office Location

Street Address 2235 E GALA ST
City MERIDIAN
State ID
Zip Code 83642-8026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912992900 Boise Endoscopy Center, LLC Clinic/Center 2235 E Gala St, Meridian, ID 83642-7090 2005-09-15
1083131783 Melissa Lea Rasmussen Nurse Practitioner 2235 E Gala St, Meridian, ID 83642-8026 2017-08-24
1194198333 Akshay K. Gupta, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-11-10
1699150623 Brian Story Md Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-07-20
1851736524 Matthew D Hella Nurse Practitioner 2235 E Gala St, Meridian, ID 83642-8026 2013-05-07
1649538463 Jennifer Brown Leonard Registered Nurse 2235 E Gala St, Meridian, ID 83642-8026 2012-04-30
1275863243 John T. Witte, M.d., P.a. Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2010-01-13
1811123961 Kirsten J Morigeau Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-06-03
1568697894 Chad A. Morse, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-05-15
1851551089 Brian T Story Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2008-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558774174 Stephen Robert Chow Internal Medicine 1314 19th Ave Dept Of, Meridian, MS 39301-4116 2014-06-11
1649516212 Theodore Weldon Bohlman Internal Medicine 8820 Stewart Rd, Meridian, ID 83642-7226 2012-12-29
1659492809 Bruce R Croffy Internal Medicine 3000 E Pine Ave, Meridian, ID 83642-5995 2007-04-03
1376040121 Anderson Regional Medical Center Internal Medicine 2124 14th St, Meridian, MS 39301-4040 2018-04-09
1194198333 Akshay K. Gupta, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-11-10
1699150623 Brian Story Md Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-07-20
1275863243 John T. Witte, M.d., P.a. Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2010-01-13
1811123961 Kirsten J Morigeau Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-06-03
1568697894 Chad A. Morse, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-05-15
1336302223 Jermaine Compton Ralph Internal Medicine 1314 19th Ave, Meridian, MS 39301-4116 2008-07-09
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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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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