John T Witte (NPI# 1063407641, PAC ID# 5597657262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1063407641 |
| PAC ID by PECOS | 5597657262 |
| Professional Enrollment ID | I20050506000350 |
| Full Name | John T Witte |
| Address |
425 W Bannock St Boise ID 83702-6035 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 425 W Bannock St, Boise, ID 83702-6035 | ||
| 2235 E Gala St, Meridian, ID 83642-8026 |
| Street Address |
425 W BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip | 83702-6035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul H Baehr | Gastroenterology | Paul H Baehr Md Pa. | 425 W Bannock St, Boise, ID 83702-6035 |
| Christine M Paynter | Physician Assistant | Idaho Gastroenterology Associates, LLP | 425 W Bannock St, Boise, ID 83702-6035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BOISE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on John T Witte.
| 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.