NPIMap

Individual provider Active NPI

Troy R Witherrite, M.D.

  • Family Medicine Physician
  • White Salmon, WA
National Provider Identifier
1073550323
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46597 Issued in WA
Practice address
212 Skyline Dr
White Salmon, WA 98672-0212
Phone
(509) 493-2133
Fax
(509) 493-9538
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33240 AZ
Family Medicine Physician 207Q00000X 46597 WA Primary
Family Medicine Physician 207Q00000X MD27358 OR

Addresses

Primary practice location

212 Skyline Dr
White Salmon, WA 98672-0212

Mailing address

212 Skyline Dr
Box 1519
White Salmon, WA 98672-1519
Phone (509) 493-9533

Other identifiers 3

IdentifierTypeStateIssuer
8456261MedicaidWA
P00332926OtherWAPTAN
271243MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060830000020 WA Practitioner - Family Practice 9032113394 Reassigns benefits to 5 organizations
I20231027002462 OR Practitioner - Family Practice 9032113394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, shared by 7 NPIs, 51 clinicians

Practice addresses (Care Compare)

65371 Hwy 14
White Salmon, WA 98672-8690
Phone (509) 493-2133

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33240AZMDFamily Medicine Physician
46597WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Oct 17, 2023 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington Current Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Aug 1, 2006 Accepting new patients
One Community Health CurrentSince Oct 17, 2023 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Aug 1, 2006 Accepting new patients
One Community Health CurrentSince Feb 5, 2024 Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

875 SW Rock Creek Dr
Stevenson, WA 98648
Phone (509) 427-4212

212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133

212 NE Skyline Dr
#1519
White Salmon, WA 98672

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1073550323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SKYLINE DR",
            "address_2": "BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721519",
            "telephone_number": "509-493-9533",
            "fax_number": "509-493-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SKYLINE DR",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720212",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERRITE",
        "first_name": "TROY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33240",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "46597",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8456261",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P00332926",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271243",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.