NICHOLAS WITTRY (NPI# 1538426697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538426697 |
| Entity Type | Individual |
| Full Name | NICHOLAS WITTRY |
| Credential | M.D. |
| Practice Address |
1320 Wisconsin Ave Racine WI 53403-1978 |
| Practice Telephone | (262) 687-5600 |
| Mailing Telephone | (262) 687-5600 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 66024 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
66024 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1320 WISCONSIN AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501070 | Paul William Springborn | Pharmacist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2005-07-12 |
| 1790257525 | Tonya Iliah Witherspoon | Counselor | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2018-12-18 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1336660398 | Britani Rae May | Physical Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-06-29 |
| 1285169276 | Lakeisha Woods | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2017-04-27 |
| 1841738028 | Mary Harris | Occupational Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-02-07 |
| 1164887774 | Jennifer Gullo | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-12-24 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| 1518351303 | Elisabeth Steadman | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-03-19 |
| 1104223510 | Nicholas Bruno | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| 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 |
|---|---|---|---|---|
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1104144781 | Manmeet K Bains | Family Medicine | 3807 Spring Street, Racine, WI 53405-1667 | 2010-05-06 |
| 1073714127 | Melchor F Vidal Md Pllc | Family Medicine | Corner Rt 3 and 94, Racine, WV 25165 | 2007-05-29 |
| 1346467883 | Maurice Krashin | Family Medicine | 75 S Vincennes Cir, Racine, WI 53402-3660 | 2007-04-19 |
| 1407926280 | Chung-yen Philip Hsu | Family Medicine | 4215 Erie St, Suite 626, Racine, WI 53402-2899 | 2006-11-08 |
| 1033288816 | Northwestern Medical Center Sc | Family Medicine | 1532 S Green Bay Rd, Suite 200, Racine, WI 53406-4410 | 2006-11-07 |
| 1053341065 | Jennifer J. Brittig | Family Medicine | 2408 4 Mile Rd, Racine, WI 53402-2091 | 2006-07-04 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1992757744 | Gary L Shepherdson | Family Medicine | Mcw & All Saints Health Care System, 1320 Wisconsin Ave., Racine, WI 53403 | 2006-05-17 |
| 1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
| Find all providers in RACINE | ||||
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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.