ROGER LEE WITTUM (NPI# 1922024850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922024850 |
Entity Type | Individual |
Full Name | ROGER LEE WITTUM |
Credential | MD |
Practice Address |
4240 Sun 'n Lake Boulevard Suite 202 Sebring FL 33872 |
Practice Telephone | 8634713926 |
Practice Fax Number | 8633853093 |
Mailing Telephone | 8634713926 |
Mailing Fax Number | 8633853093 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME102099 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 000446200 | 05 |
Street Address |
4240 SUN 'N LAKE BOULEVARD SUITE 202 |
City | SEBRING |
State | FL |
Zip Code | 33872 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
1710478201 | Maria Theresa Mercado Espiritu | Nurse Practitioner | 4638 Sun N Lake Blvd, Sebring, FL 33872 | 2018-05-21 |
Find all providers in zip 33872 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043235401 | Phillip E. Jones | Internal Medicine | 4240 Sun N Lake Blvd, Suite 202, Sebring, FL 33872-1944 | 2006-07-13 |
1467567941 | Thomas Shimshak | Internal Medicine | 4240 Sun N Lake Blvd, Suite 202, Sebring, FL 33872-1944 | 2006-08-21 |
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---|---|---|---|---|
1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
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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.