MATTHEW T DEWITT (NPI# 1700882396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700882396 |
| Entity Type | Individual |
| Full Name | MATTHEW T DEWITT |
| Credential | DPM |
| Practice Address |
3600 W Bethel Ave Muncie IN 47304 |
| Mailing Address |
3600 W Bethel Ave Muncie IN 47304-5407 |
| Practice Telephone | 7652847738 |
| Practice Fax Number | 7652844266 |
| Mailing Telephone | 7652847738 |
| Mailing Fax Number | 7652844266 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07000971A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300022448 | 05 | |
| IN | CENTRAL INDIANA ORTHOPEDICS, PC | 100106820 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2106 W Mcgalliard Rd, Muncie, IN 47304 | 7652843879 | 7652894655 |
| 3610 N. Briarwood Ln, Muncie, IN 473045219 | 7652843879 | 7652894655 |
| Street Address |
3600 W BETHEL AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151456 | Curtis Lee Laws | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2020-07-15 |
| 1124587035 | Cio Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-03-19 |
| 1578036265 | Tricia M James | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-01-07 |
| 1164917050 | Central Indiana Orthopedic Surgery Center, LLC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2018-06-25 |
| 1346751930 | Elizabeth Gertrude Wendel | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2017-10-23 |
| 1801347299 | Joseph Richichi | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-20 |
| 1891246559 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-18 |
| 1164972071 | Ericka Lynn Lennartz | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-04 |
| 1114476611 | Karissa Carpenter | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-09-25 |
| 1295101079 | Brittani Sizelove | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144211491 | Tod S Reed | Podiatrist | 3400 W Purdue Ave, Muncie, IN 47304-5267 | 2005-11-03 |
| 1982724399 | Tod S Reed Dpm PC Inc | Podiatrist | 3400 W Purdue Ave, Muncie, IN 47304-5267 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 1902359714 | Aamir Mahmood | Podiatrist | 10176 W 400 N Ste D, Michigan City, IN 46360-9009 | 2016-07-28 |
| 1437508116 | Brian K. Penrose | Podiatrist | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2016-06-03 |
| 1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
| 1467872796 | William Joseph Edward Adams | Podiatrist | 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 | 2014-04-25 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1245679802 | Ansgar Steven Olsen | Podiatrist | 360 Plaza Dr Ste B, Columbus, IN 47201-2960 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
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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.