JERRY WITTMEYER (NPI# 1871008300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871008300 |
| Entity Type | Individual |
| Full Name | JERRY WITTMEYER |
| Practice Address |
1088 Wasserman Way Batavia OH 45103-1974 |
| Practice Telephone | 5133545200 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSURE | N-A-1 | 01 |
| Street Address |
1088 WASSERMAN WAY |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043277759 | Clermont Recovery Center, Inc. | Public Health or Welfare | 1088 Wasserman Way, Suite C, Batavia, OH 45103-1911 | 2006-04-27 |
| 1083198949 | Christine M Miles | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2018-09-18 |
| 1578055752 | Deborah K Malone | Licensed Practical Nurse | 1088 Wasserman Way, Batavia, OH 45103 | 2018-06-04 |
| 1437657442 | Kellee A Love | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2018-01-24 |
| 1720593676 | Ronda Dull | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-13 |
| 1275048472 | Rose Wible | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-11 |
| 1598270787 | Eric Handel | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-09 |
| 1154836484 | Michael Raymond Jones | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-08 |
| 1811402225 | Lisa Carol Gulden | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-07 |
| 1700391224 | David Taylor | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098788 | Sarah Kathryn Mclaughlin | Case Manager/Care Coordinator | 3837 W Main St, Batavia, NY 14020-9404 | 2020-03-19 |
| 1538354063 | Elizabeth Sue Deacon | Case Manager/Care Coordinator | 5130 E Main St Ste 2, Batavia, NY 14020-3444 | 2007-09-07 |
| 1871793372 | Jeff Hyde | Case Manager/Care Coordinator | 5130 E Main St, Batavia, NY 14020-3444 | 2007-07-23 |
| 1922207299 | Candi Ann Warfle | Case Manager/Care Coordinator | 5130 E Main Street Rd Ste 2, Batavia, NY 14020-3444 | 2007-07-16 |
| 1386280550 | Andrew Wilmes | Case Manager/Care Coordinator | 2400 Clermont Center Dr, Batavia, OH 45103-1990 | 2019-11-22 |
| 1568020535 | Felicia Jean Gallo | Case Manager/Care Coordinator | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2019-06-04 |
| 1942760236 | Janelle Marble Marble | Case Manager/Care Coordinator | 50 Batavia City Ctr, Batavia, NY 14020-2107 | 2019-03-22 |
| 1689142507 | Sarah Mickles | Case Manager/Care Coordinator | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2018-11-08 |
| 1982189965 | Andrew Fountain | Case Manager/Care Coordinator | 5130 E Main St, Batavia, NY 14020-3444 | 2018-09-26 |
| 1083198949 | Christine M Miles | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2018-09-18 |
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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.