Active NPI
Maury Witkoff, D.O.
- Emergency Medicine Physician
- Columbus, OH
National Provider Identifier
1073591657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34-005979
- Practice address
- 6001 E Broad St
Columbus, OH 43213 - Phone
- (614) 224-6420
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-005979 | OH | Primary |
Addresses
Primary practice location
6001 E Broad St
Columbus, OH 43213
Mailing address
2376 Village at Bexley Dr
Columbus, OH 43209-2896
Phone (614) 402-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155924 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwitkoff1158478@direct.trinity-health.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5979 | OH | MD | Clinical Psychologist |
| 34-005979 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
| Ohio Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Great Lakes Emergency Medicine Physicians, Inc | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Immediate Health Associates | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
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-
- Emergency Medicine Physician
- Barnesville, OH
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- Findlay, OH
- NPI 1356515795
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1073591657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 VILLAGE AT BEXLEY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092896",
"telephone_number": "614-402-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-224-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKOFF",
"first_name": "MAURY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-005979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155924",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwitkoff1158478@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Mount Carmel Health Columbus Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "6001 E Broad St",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "43213",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.