Anthony J Witt (NPI# 1083063762, PAC ID# 0648565788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083063762 |
| PAC ID by PECOS | 0648565788 |
| Professional Enrollment ID | I20160829000436 |
| Full Name | Anthony J Witt |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Address |
209 E Jefferson St Plymouth Family and Internal Medicine Downtown Plymouth IN 46563-1861 |
| Phone Number | 5749485100 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325950843 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 | 5749485100 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7836 | 5749485100 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weston S Carter | Family Medicine | Saint Joseph Regional Medical Center Inc | 1025 Widener Ln, Saint Joseph Family Medicine At Miami Rd, South Bend, IN 46614-3242 |
| Lensa G Girsha | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 60101 Bodnar Blvd, Suite 100b, Mishawaka, IN 46544-9340 |
| Nathaniel Stewart | Internal Medicine | Saint Joseph Regional Medical Center Inc | 1122 S Ironwood Dr, River Park Family Medicine, South Bend, IN 46615-1618 |
| Laura E Blackford | Family Medicine | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Bethany Rose Cohen | Family Medicine | Saint Joseph Regional Medical Center Inc | 12563 State Rd, Suite 23, Granger, IN 46530-9226 |
| Janice L Peterson | Family Medicine | Saint Joseph Regional Medical Center Inc | 232 S Main St A, Sjpn Lake Shore Clinic, Culver, IN 46511-1648 |
| Kimberley K Mendez | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Shamiram B Badal | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Barbara J Kunnen | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 114 N Washington St, Bourbon Family Medicine, Bourbon, IN 46504-1623 |
| Jennifer Friberg | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 |
| Street Address |
209 E JEFFERSON ST PLYMOUTH FAMILY AND INTERNAL MEDICINE DOWNTOWN |
| City | PLYMOUTH |
| State | IN |
| Zip | 46563-1861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley K Mendez | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Tod A Stillson | Family Medicine | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Sally Lee Beazlie-walker | Family Medicine | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Debra S Cook | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Crystal Marie Horner | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth, IN 46563-1861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosalie M Regedanz | Physical Therapy | 440 W Jefferson St, Plymouth, IN 46563-1646 | |
| Amber D Trump | Physical Therapy | Robert J Amico Pt Inc | 576 N Oak Dr, Plymouth, IN 46563-1664 |
| Nanette M Fredericks | Clinical Social Worker | 322 W Jefferson St, Plymouth, IN 46563-1734 | |
| Mary E Schwartz | Podiatry | 116 E Washington St, Plymouth, IN 46563-1744 | |
| Jillorna Ann Uceny | Clinical Social Worker | 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753 | |
| Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Margaret T Snyder | Psychologist, Clinical | 505 Colonial Ct, Plymouth, IN 46563-1860 | |
| Find all physicians in zip 46563 | |||
| City | PLYMOUTH |
| Zip Code | 46563 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLYMOUTH + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.