Dewitt Medical District
Organization Active NPI Family Medicine Physician · Cuero, TX
NPI 1043645955 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1043645955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DEWITT MEDICAL DISTRICT
- Practice address
- 2550 N Esplanade St
Cuero, TX 77954-4736 - Phone
- (361) 275-6191
- Fax
- (361) 275-3999
- NPI assigned
- Sep 10, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- DEWITT MEDICAL DISTRICT
Authorized official
- Name
- Greg S Pritchett
- Title
- Chief Financial Officer
- Phone
- (361) 275-6191
Other NPIs on the same Medicare enrollment 6
Practitioners 2
-
James Donovitz, MD
-
Larry Penick, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031202000088 | TX | Part B Supplier - Clinic/Group Practice | 3072421395 |
Receives reassigned benefits from 77 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yorktown, TX; Yoakum, TX; Victoria, TX; Schulenburg, TX; Goliad, TX; Kenedy, TX; Cuero, TX |
National Provider Directory
- Part of
- Goliad Family Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2550 N Esplanade St
Cuero, TX 77954-4736
Mailing address
PO Box 630
Cuero, TX 77954-0630
Phone (361) 275-6191
Other names
- CUERO COMMUNITY HOSPITAL CLINIC GRP
Other providers in Cuero, TX
- Cuero Nursing Home Inc
- Cuero Partners, LTD.
- Cuero Regional Hospital
- D Ross Braune Ma LPC and Associates
- William Kevin Denton
- Dewitt Medical District
- Dewitt Medical District
- Dewitt Medical District
- Dewitt Medical District
- Dewitt Medical District
All providers in Cuero, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.