DR. RICK DEWITT PITTMAN (NPI# 1104990175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104990175 |
| Entity Type | Individual |
| Full Name | DR. RICK DEWITT PITTMAN |
| Credential | MD |
| Practice Address |
1793 13th St Se Salem OR 97302-2541 |
| Practice Telephone | (503) 362-8385 |
| Practice Fax Number | 5033628435 |
| Mailing Telephone | (503) 362-8385 |
| Mailing Fax Number | 5033628435 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD15726 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 049148 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1535 Liberty St Se, Salem, OR 973024345 | 5033718346 | 5033718334 |
| Street Address |
1793 13TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
| 1689275042 | Lindsay Rae Fry | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2020-11-03 |
| 1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
| 1023582673 | Anna Delaine Dodd | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2019-01-16 |
| 1225532211 | Lauren Gene Williams | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2018-03-22 |
| 1497270268 | Jennifer Robin Smith | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2017-08-13 |
| 1700311974 | Kelsey Ferrell | Dermatology | 1793 13th St Se, Salem, OR 97302 | 2017-04-25 |
| 1972048700 | Elizabeth Schmidt | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2017-01-03 |
| 1720436397 | Allison Stoecker | Dermatology | 1793 13th St Se, Salem, OR 97302-2541 | 2016-05-24 |
| 1346610201 | Charity Capuras | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2015-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351901 | Willamette Vascular Specialists, PC | Surgery | 1015 25th St Se, Salem, OR 97301 | 2010-03-09 |
| 1174756605 | Benjamin R. Wilson, Md, PC | Surgery | 700 Bellevue Street, Suite 240, Salem, OR 97301-3855 | 2009-09-01 |
| 1508074147 | Salem Vascular Consultants, LLP | Surgery | 1535 Liberty St Se, Salem, OR 97302-4345 | 2007-05-18 |
| 1356726418 | Advanced Vascular Therapy LLC | Surgery | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2015-07-29 |
| 1215215371 | Atish Chopra | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-07-23 |
| 1003106071 | Jeffrey David Crawford | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-04-12 |
| 1831411560 | Salem Vascular, PC | Surgery | 1535 Liberty St Se, Salem, OR 97302-4345 | 2010-02-22 |
| 1326207739 | Amani D Politano | Surgery | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-06-02 |
| 1003980053 | Mark Steven Peterson | Surgery | 925 Commercial St Se Ste 102, Salem, OR 97302-4173 | 2006-11-20 |
| 1578596938 | William Siao-ping Tung | Surgery | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-07-09 |
| Find all providers in SALEM | ||||
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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.