Chad Douglas Wittekind (NPI# 1538727060, PAC ID# 3375871866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538727060 |
| PAC ID by PECOS | 3375871866 |
| Professional Enrollment ID | I20190821003771 |
| Full Name | Chad Douglas Wittekind |
| Organization Legal Name | CENTRAL OHIO GERIATRICS, LLC |
| Address |
590 Newark Granville Rd Granville OH 43023-1436 |
| Phone Number | 8885317444 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517015373 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 590 Newark Granville Rd, Granville, OH 43023-1436 | 8885317444 | CENTRAL OHIO GERIATRICS, LLC |
| Organization Legal Name | CENTRAL OHIO GERIATRICS, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Ann Maughmer | Nurse Practitioner | Central Ohio Geriatrics, LLC | 717 Neil Ave, Columbus, OH 43215-1609 |
| Katherine L Montanaro | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Tara Dillon | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Caryn Elizabeth Gorby | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Jonathan Hollister | Geriatric Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Peter D Hucek | Family Medicine | Central Ohio Geriatrics, LLC | 6000 Riverside Dr, Dublin, OH 43017-1492 |
| Stuart Kanter | Family Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| John M Weigand | Family Medicine | Central Ohio Geriatrics, LLC | 6000 Riverside Dr, Dublin, OH 43017-1492 |
| Nicole R Carrier | Physician Assistant | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Kimberly Potter | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Street Address |
590 NEWARK GRANVILLE RD |
| City | GRANVILLE |
| State | OH |
| Zip | 43023-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Montanaro | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Tara Dillon | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Caryn Elizabeth Gorby | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Jonathan Hollister | Geriatric Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Stuart Kanter | Family Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Nicole R Carrier | Physician Assistant | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Kimberly Potter | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Jerome M Kong | Internal Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Amy J Smutylo | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Hamilton | Podiatry | 2158 Columbus Rd, Granville, OH 43023-1242 | |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Kevin T Graham | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Navin Muni | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Sarah Dorsky | Nurse Practitioner | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Andre De Leon | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Aaron J Kibler | Family Practice | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Dustin C Zimpfer | Chiropractic | 230 Broadway E, Suite 150, Granville, OH 43023-1363 | |
| Kelley Jo Breidigan | Clinical Social Worker | 128 S Main St, Granville, OH 43023-1409 | |
| Karen H Berdan | Optometry | 205 /2 S Prospect St, Granville, OH 43023-1423 | |
| Find all physicians in zip 43023 | |||
| City | GRANVILLE |
| Zip Code | 43023 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRANVILLE + NURSE PRACTITIONER |
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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.