The Dewitt Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6975 Issued in TX

Legal business name

THE DEWITT CLINIC PA

Practice address

304 Medic Lane
Suite B
Alvin, TX 77511-5543

Phone

(281) 331-2062

Fax

(281) 331-8070

NPI assigned

Aug 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert D Dewitt, MDNPI 1972589737

Title

President

Phone

(281) 331-2062

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Dewitt, MD

  • Internal Medicine Physician
  • Alvin, TX
  • NPI 1972589737
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1043202997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MEDIC LANE",
            "address_2": "SUITE B",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115543",
            "telephone_number": "281-331-2062",
            "fax_number": "281-331-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MEDIC LANE",
            "address_2": "SUITE B",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115543",
            "telephone_number": "281-331-2062",
            "fax_number": "281-331-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEWITT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-331-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6975",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H1950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaire Marie Tacquard, RN
• David Taing, OD
• Whitney Taylor, LPC
• Mary Anne Tessitore, FNP
• Texas Grove Recovery LLC
• Jessina Tom, LPC, NCC
• Lucia Tran, PA-C
• Tranvision Eye Care PC
• Txcare Home Health LLC
• Evelyn Ukponmwan

• Family Medicine Physician in Alvin, TX
• Providers in Alvin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.