Robert R Witham (NPI# 1649296971, PAC ID# 3971526815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1649296971 |
PAC ID by PECOS | 3971526815 |
Professional Enrollment ID | I20060106000342 |
Full Name | Robert R Witham |
Address |
224 N Washington St Port Angeles WA 98362-3908 |
Gender | M |
Credential | MD |
Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | HEMATOLOGY/ONCOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500072 | OLYMPIC MEDICAL CENTER |
500139 | CAPITAL MEDICAL CENTER |
501325 | FORKS COMMUNITY HOSPITAL |
501336 | MASON GENERAL HOSPITAL & FAMILY OF CLINICS |
501323 | JEFFERSON HEALTHCARE |
Address | Phone | Organization |
---|---|---|
3920 Capital Mall Dr Sw, Suite 100, Olympia, WA 98502-8701 | ||
224 N Washington St, Port Angeles, WA 98362-3908 |
Street Address |
224 N WASHINGTON ST |
City | PORT ANGELES |
State | WA |
Zip | 98362-3908 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren Kate Ballou | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Benjamin Robert Curran | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Summer Michele Scavone | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Jennifer L Wilson | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Katrina C Weller | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Ned J Hammar | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Michael Aaron Wauters | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Bradley K Rodell | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Johannah L Hay | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Susan H Roberts | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
Find all physicians in zip 98362 |
City | PORT ANGELES |
Zip Code | 98362 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PORT ANGELES + INTERNAL 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.