CRAIG A. WITTENBERG (NPI# 1285602920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285602920 |
| Entity Type | Individual |
| Full Name | CRAIG A. WITTENBERG |
| Credential | MD |
| Practice Address |
405 Monroe St Pella IA 50219-1189 |
| Practice Telephone | 6416283832 |
| Practice Fax Number | 6416288894 |
| Mailing Telephone | 6416283832 |
| Mailing Fax Number | 6416288894 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30144 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2120105 | 05 |
| Street Address |
405 MONROE ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557411 | Dale Lee Lensing | Obstetrics & Gynecology | 405 Monroe St, Pella, IA 50219-1189 | 2005-06-08 |
| 1932619475 | Pella Regional Health Center Clinic Pharmacy | Pharmacy | 405 Monroe St, Pella, IA 50219 | 2017-10-11 |
| 1952810087 | Jessica Lee Streeter | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2017-09-20 |
| 1740649300 | Tamara Jean Pommer | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1750740361 | Janna Marie Hansen-nolin | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1487013017 | Tara Dawn Temperly-leidigh | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1275991804 | Jacklyn Sue Lowe | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1487012001 | Amy Jean Herdegen | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1225496854 | Sarah Christine Vogel | Occupational Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1528434859 | Mindy Baccam Southammavong | Physician Assistant | 405 Monroe St, Pella, IA 50219-1189 | 2015-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023097912 | Valerie Lynne Bonnett | Family Medicine | 713 E 1st St, Pella, IA 50219-1632 | 2006-01-10 |
| 1871586594 | Kurt Ronald Vander Ploeg | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2005-08-28 |
| 1467967968 | Knoxville Community Hospital Inc | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2017-12-06 |
| 1639585359 | Elizabeth Marie Wooster-pierson | Family Medicine | 405 Monroe St, Pella, IA 50219-1189 | 2014-07-02 |
| 1851722128 | Pella Regional Health Center | Family Medicine | 1210 E Vermeer Rd, Pella, IA 50219-7660 | 2013-12-11 |
| 1093726861 | Kurt R. Vander Ploeg, M.d., P.C. | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2006-08-10 |
| 1144240805 | Daniel Joseph Rowley | Family Medicine | 405 Monroe St, Pella, IA 50219-1189 | 2006-07-19 |
| 1033148648 | Tereasa L. Vanzee-seieroe | Family Medicine | 405 Monroe St, Pella, IA 50219-1189 | 2006-07-03 |
| 1053369405 | Pella Regional Health Center | Family Medicine | 405 Monroe St, Pella, IA 50219-1189 | 2006-05-05 |
| 1144298555 | Galyn W Vande Zande | Family Medicine | 405 Monroe St, Pella, IA 50219-1189 | 2006-03-10 |
| Find all providers in PELLA | ||||
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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.