KEITH A. WICHTERMAN


Address: 900 N 1st Street, Springfield, IL 62702-3749
Phone: 2175287541

KEITH A. WICHTERMAN (NPI# 1841387636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841387636
Entity Type Individual
Full Name KEITH A. WICHTERMAN
Credential M.D.
Practice Address 900 N 1st Street
Springfield
IL 62702-3749
Mailing Address 1025 S 6th St
Springfield
IL 62703-2403
Practice Telephone 2175287541
Mailing Telephone 2175287541
Enumeration Date 2006-10-05
Last Update Date 2014-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036-058831 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036058831 05

Office Location

Street Address 900 N 1ST STREET
City SPRINGFIELD
State IL
Zip Code 62702-3749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881637049 Namita Vinayek Internal Medicine 900 N 1st Street, Springfield, IL 62702 2006-06-14
1760505721 Erin M Stone Obstetrics & Gynecology 900 N 1st Street, Springfield, IL 62702-3749 2007-04-06
1033210026 Mark Kuhnke Surgery 900 N 1st Street, Springfield, IL 62702-3749 2006-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184114480 New Jersey Bariatric Group, PC Surgery 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 2018-05-14
1174903488 Samuel J Rheinhardt Surgery 701 N 1st St Ste D327, Springfield, IL 62702-3757 2015-06-02
1588099725 Francis Milton Corry Surgery 2859 E. Utica, Springfield, MO 65804 2013-09-06
1881033926 Frank A. Cornella Dds, Md PC Surgery 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 2013-06-21
1881943678 Roland Folse Surgery 2 Virginia Lane, Springfield, IL 62712 2012-09-07
1780939462 Daniel Caleb Persinger Surgery 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 2012-07-18
1154618775 Alexandria Dailey Mcdow Surgery 701 N 1st St Ste D308, Springfield, IL 62702-3757 2011-07-04
1356655054 Allison Melissa Key Surgery 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 2010-08-05
1679704761 James P Buwen Surgery 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 2009-08-06
1386871069 Lindsey Leigh Saint Surgery 315 W Carpenter St Fl 2, Springfield, IL 62702 2009-06-19
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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