DR. JASON B WITTMER (NPI# 1487630489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487630489 |
| Entity Type | Individual |
| Full Name | DR. JASON B WITTMER |
| Credential | MD |
| Practice Address |
1601 Nw 114th St Suite 347 Des Moines IA 50325-7007 |
| Practice Telephone | 5152241777 |
| Practice Fax Number | 5152220226 |
| Mailing Telephone | 5152241777 |
| Mailing Fax Number | 5152220226 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
36343 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36343 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0469304 | 05 | |
| IA | WELLMARK | 02019 | 01 |
| IA | COVENTRY | 266915 | 01 |
| IA | UHC OF THE RIVER VALLEY | IA0143 | 01 |
| Street Address |
1601 NW 114TH ST SUITE 347 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508255134 | John L. Groeneveld | Nurse Practitioner | 1601 Nw 114th St, Ste 347, Des Moines, IA 50325-7046 | 2015-01-20 |
| 1467686139 | Capital Orthopaedics and Sports Medicine LLP | Podiatrist | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2009-05-11 |
| 1407093008 | Capital Orthopaedics and Sports Medicine LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2009-01-19 |
| 1023269586 | Sharon D Shipley | Audiologist | 1601 Nw 114th St, Suite 230, Des Moines, IA 50325-7007 | 2008-10-02 |
| 1821288150 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1601 Nw 114th St, Ste 136, Des Moines, IA 50325-7007 | 2007-08-01 |
| 1548461189 | Central Iowa Orthopaedics Group LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-05-30 |
| 1649481680 | Michael S Lee Dpm PC | Podiatrist | 1601 Nw 114th St, Ste 142, Des Moines, IA 50325-7036 | 2007-05-24 |
| 1922219047 | William C. Jacobson Md PC | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-05-24 |
| 1942429824 | Scott B Neff Dopc | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7036 | 2007-04-25 |
| 1265577019 | Orthopaedic and Sports Surgery Center PC | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760401657 | Bradley E Wilcox | Internal Medicine | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2006-07-19 |
| 1508844317 | Donald L Burrows | Internal Medicine | 1601 Nw 114th St, Suite 347, Des Moines, IA 50325-7046 | 2006-01-03 |
| 1093700486 | Randall R Hanson | Internal Medicine | 1215 Pleasant St, Ste 200, Des Moines, IA 50309-1416 | 2005-09-13 |
| 1982696555 | Donald Ray Shumate | Internal Medicine | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50325 |
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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.