Philip N Wittmer (NPI# 1679670640, PAC ID# 8729080049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1679670640 |
PAC ID by PECOS | 8729080049 |
Professional Enrollment ID | I20070215000098 |
Full Name | Philip N Wittmer |
Organization Legal Name | MISSOURI STATE UNIVERSITY - TAYLOR HEALTH AND WELLNESS CENTER. |
Address |
901 S National Springfield MO 65897-0027 |
Phone Number | 4178365540 |
Gender | M |
Credential | DO |
Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 7214919661 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260040 | COX MEDICAL CENTERS |
260065 | MERCY HOSPITAL SPRINGFIELD |
Address | Phone | Organization |
---|---|---|
440 E Tampa St, Springfield, MO 65806-1131 | 41785115511213 | ADVOCATES FOR A HEALTHY COMMUNITY INC |
901 S National, Springfield, MO 65897-0027 | 4178365540 | MISSOURI STATE UNIVERSITY - TAYLOR HEALTH AND WELLNESS CENTER. |
Organization Legal Name | MISSOURI STATE UNIVERSITY - TAYLOR HEALTH AND WELLNESS CENTER. |
Physicians | 1 |
Street Address |
901 S NATIONAL |
City | SPRINGFIELD |
State | MO |
Zip | 65897-0027 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anne M Egbert | Internal Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Shana K Delvecchio | Nurse Practitioner | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Filip J Garrett | Family Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Don L Brockman | Family Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Frederick D Muegge | Internal Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Linda L Skolnick | Psychologist, Clinical | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Daniela Novotny | Registered Dietitian Or Nutrition Professional | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Gloria Damien | Internal Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Susan W Essman | Family Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Mary A Wardell | Family Medicine | Missouri State University | 901 S National Ave, Springfield, MO 65897-0027 |
Find all physicians in zip 65897 |
City | SPRINGFIELD |
Zip Code | 65897 |
Specialty | FAMILY PRACTICE |
City + Specialty | SPRINGFIELD + FAMILY PRACTICE |
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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.