DR. JOHN EDWIN WITCHER (NPI# 1932135522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932135522 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWIN WITCHER |
| Credential | MD |
| Practice Address |
1488 Hwy 487 Sebastopol Clinic Sebastopol MS 39359 |
| Mailing Address |
Po Box 142 East Central Ms Health Care Inc Sebastopol MS 39359 |
| Practice Telephone | 6016257403 |
| Practice Fax Number | 6016257404 |
| Mailing Telephone | 6016257140 |
| Mailing Fax Number | 6016257199 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14977 | MS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 14977 | MS | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 14977 | MS | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 14977 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126975 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005484 | John Edwin Witcher | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-02-20 |
| Street Address |
1488 HWY 487 SEBASTOPOL CLINIC |
| City | SEBASTOPOL |
| State | MS |
| Zip Code | 39359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178161 | William A Mullendore | Family Medicine | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-10-18 |
| 1881241123 | Mary Rose Thomas | Nurse Practitioner | 1488 Hwy 487, Sebastopol, MS 39359 | 2019-08-21 |
| 1790129021 | Benita Joetta Myles | Family Medicine | 1488 Hwy 487, Family Medicine, Sebastopol, MS 39359-0150 | 2013-04-17 |
| 1659626687 | Nicholas John Dennery II | Dentist | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2012-07-16 |
| 1851570006 | Telitha K Grant-spencer | Internal Medicine | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2007-10-24 |
| 1124232806 | James E. Yelverton | Dentist | 1488 Hwy 487, Sebastopol, MS 39359 | 2007-05-10 |
| 1699721209 | East Central Mississippi Health Care Inc | Clinic/Center | 1488 Hwy 487, Sebastopol, MS 39359 | 2006-05-25 |
| 1386621233 | Aser M Kandil | Pediatrics | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839881 | Shanna Donald | Social Worker | 32 Underwood Street, Sebastopol, MS 39359 | 2020-04-03 |
| 1891189114 | Reathia Sue Summers | Nurse Practitioner | 157 Hwy 492, Sebastopol, MS 39359 | 2015-03-25 |
| 1053524009 | Rodney L Moore | Pharmacy | 16831 Hwy 21 S, Sebastopol, MS 39359 | 2007-05-07 |
| 1427127018 | Malinda Elizabeth Ellis Gilmer | Registered Nurse | 32 Underwood St, Sebastopol, MS 39359 | 2006-11-07 |
| 1609853647 | Karen Reece | Nurse Practitioner | 1488 Highway 487, Sebastopol, MS 39359 | 2005-12-30 |
| 1760778609 | Independent Healthcare Management, Inc. | Clinic/Center | 17509 Hwy 21, Sebastopol, MS 39359-0000 | 2011-06-20 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| 1205355781 | Gaydon Nowell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2017-09-15 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447388343 | Harry S. Simms | Emergency Medicine | 652 Petaluma Ave Ste H, Sebastopol, CA 95472-4266 | 2007-03-01 |
| 1982708103 | Michael Dennis Holmes | Emergency Medicine | 511 Petaluma Ave, Sebastopol, CA 95472 | 2006-09-08 |
| 1770940561 | Greenbriar Emergency Physicians Medical Group, Inc. | Emergency Medicine | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2016-01-25 |
| 1457575706 | Jorge Gonzalez | Emergency Medicine | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2007-04-11 |
| 1396700936 | Michele D. Borgeson | Emergency Medicine | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201145 | Sabrina Marie Azavedo | Emergency Medicine | 3283 Shadowood Ln, Corinth, MS 38834-6030 | 2020-07-01 |
| 1275172736 | Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-02 |
| 1790130151 | Patrick Bryant | Emergency Medicine | 5001 Hardy Street, Hattiesburg, MS 39402 | 2016-05-04 |
| 1679935381 | Rommel Asagwara | Emergency Medicine | 1060 E County Line Rd Ste 1a, Ridgeland, MS 39157-1937 | 2016-03-22 |
| 1588034227 | Srikar Karanam | Emergency Medicine | 114 Breckenridge Dr Apt 203, Hattiesburg, MS 39402-3709 | 2015-10-06 |
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1942612015 | Emergency Associates Pllc | Emergency Medicine | 2660 Ridgewood Rd, Suite 100, Jackson, MS 39216-4921 | 2014-05-23 |
| 1720362270 | David Kennedy Stone | Emergency Medicine | 102 Pine Ct, Brandon, MS 39047-8313 | 2011-10-03 |
| 1083995674 | Obhg Mississippi, P.C. | Emergency Medicine | 1225 N State St Ste B1, Jackson, MS 39202-2072 | 2011-09-09 |
| 1114238425 | Kevin Lee Beason | Emergency Medicine | 10151 Road 1343, Philadelphia, MS 39350-4101 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 39359 |
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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.