Frederick Rehm Witten (NPI# 1588657654, PAC ID# 6204817257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1588657654 |
| PAC ID by PECOS | 6204817257 |
| Professional Enrollment ID | I20060404000650 |
| Full Name | Frederick Rehm Witten |
| Organization Legal Name | FIRST UROLOGY PSC |
| Address |
1023 New Moody Lane Suite 202 Lagrange KY 40031-9180 |
| Phone Number | 5028977172 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3779572888 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 180088 | NORTON HOSPITALS, INC |
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 8122823899 | FIRST UROLOGY PSC |
| 1023 New Moody Lane, Suite 202, Lagrange, KY 40031-9180 | 5028977172 | FIRST UROLOGY PSC |
| 3920 S Dupont Sq C, Louisville, KY 40207-4615 | 8122823899 | FIRST UROLOGY PSC |
| 5129 Dixie Hwy 307, Louisville, KY 40216-1731 | 5024474595 | FIRST UROLOGY PSC |
| Organization Legal Name | FIRST UROLOGY PSC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Strobl | Nurse Practitioner | First Urology Psc | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 |
| Aaron Becker | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Henry Nicholas Meiers | Urology | First Urology Psc | 3920 S Dupont Sq C, Louisville, KY 40207-4615 |
| Ganesh S Rao | Urology | First Urology Psc | 3 Audubon Plaza Dr, L10, Louisville, KY 40217-1362 |
| Elizabeth A Mills | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Barry R Pecha | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Christopher Gerald Schrepferman | Urology | First Urology Psc | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 |
| Diane M Kilbride | Nurse Practitioner | First Urology Psc | 1023 New Moody Lane, Suite 202, Lagrange, KY 40031-9180 |
| John Hannai Jurige Jr. | Urology | First Urology Psc | 3920 S Dupont Sq C, Louisville, KY 40207-4615 |
| Ryan J Malone | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Street Address |
1023 NEW MOODY LANE SUITE 202 |
| City | LAGRANGE |
| State | KY |
| Zip | 40031-9180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendi Suzanne Haller | Nurse Practitioner | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Scott P Kellie | Pulmonary Disease | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Diane M Kilbride | Nurse Practitioner | First Urology Psc | 1023 New Moody Lane, Suite 202, Lagrange, KY 40031-9180 |
| Sarah E Clark | Nurse Practitioner | Baptist Health Medical Group Inc | 1023 New Moody Lane, Suite 102, La Grange, KY 40031-9183 |
| John S Oldham Jr. | General Surgery | Baptist Health Medical Group Inc | 1023 New Moody Lane, Suite 100, La Grange, KY 40031-9182 |
| Vinay Nidadavolu | Pulmonary Disease | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lagenia K Wright | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Sandra L Savage | Emergency Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Troy W Kaiser | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Taylor Lee Snyders | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Dennis Mcgill | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mary L Barresi | Internal Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Robert Hehre | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mika L Bates | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Lido Petrucci | Chiropractic | 301 S 1st St, Lagrange, KY 40031-1240 | |
| Laurence Preble | Chiropractic | 102 W Madison St, La Grange, KY 40031-1428 | |
| Find all physicians in zip 40031 | |||
| City | LAGRANGE |
| Zip Code | 40031 |
| Specialty | UROLOGY |
| City + Specialty | LAGRANGE + UROLOGY |
Please comment or provide details below to improve the information on Frederick Rehm Witten.
| 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.