Steven Victor Bittorf, MD, PHD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

46205-20 Issued in WI

Practice address

2505 Parkwood Dr
Green Bay, WI 54304-1956

Phone

(920) 883-6176

NPI assigned

Apr 21, 2011

Last updated

Apr 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Authorized official Same address or phone

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1043501356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 PARKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 PARKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041956",
            "telephone_number": "920-883-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTORF",
        "first_name": "STEVEN",
        "middle_name": "VICTOR",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "46205-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily K Birenbaum, PT
• Vivian Sweetheart Bishop-Cook
• Megan G Bisson, CRNA
• Hannah Elizabeth Bitter
• Lesley J Bitters, RN
• Robert W Bjoraker Jr., MD
• Donnevan Blake, M.D.
• Maribeth Blake, M.S.CCC-SLP
• Shawn Thornton Blakley, MSE, CADCIII
• Michael Anotonio Blalock, MD

• Medical Specialty Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.