James Albert Wittenauer, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038-007782 Issued in IL

Practice address

103 E Jackson St
Pinckneyville, IL 62274-1141

Phone

(618) 357-5012

Fax

(618) 357-9034

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wittenauer Chiropractic PC

  • Chiropractor
  • Pinckneyville, IL
  • NPI 1881853257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1093826802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E JACKSON ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741141",
            "telephone_number": "618-357-5012",
            "fax_number": "618-357-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E JACKSON ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741141",
            "telephone_number": "618-357-5012",
            "fax_number": "618-357-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENAUER",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038-007782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007782",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ty Lamar Wallace, MSW
• Sharon Lucille White-Findley, D.O.
• Ellice Ann Wickwire, R.N.
• Lisa Louise Wild, M.S.E.D, M.S.W.
• Wittenauer Chiropractic PC

• Internist Chiropractor in Pinckneyville, IL
• Providers in Pinckneyville, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.