Daniel Allen Wittersheim, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

22559 Issued in MS

Practice address

6300 E Lake Blvd
Suite 201
Vancleave, MS 39565-6770

Phone

(228) 230-2663

Fax

(228) 206-1192

NPI assigned

Sep 19, 2007

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Orthopedic Surgery

Education

University of Alabama School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bienville Orthopaedic Specialists, LLCGroup PAC ID 0547155178, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• Saads Home Nursing of Ms Home health agency, Diberville, MS, CCN 257128
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Vancleave, MS
  • NPI 1689605834
  Medicare reassignment Care Compare group NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Grand Bay, AL
  • NPI 1659269454
  NPD
• Oal Care of Al, LLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1720540693
  NPD

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

• Saad Enterprises, Inc.

  • Home Health Agency
  • Diberville, MS
  • NPI 1164708863
  Care Compare affiliation
• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1104012566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD",
            "address_2": "SUITE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656770",
            "telephone_number": "228-230-2663",
            "fax_number": "228-206-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD",
            "address_2": "SUITE 201",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656770",
            "telephone_number": "228-230-2663",
            "fax_number": "228-206-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTERSHEIM",
        "first_name": "DANIEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "22559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Scott Vo, LMT
• Madison White, SLP
• Traci White, NP-C
• Whole Family Care PLLC
• Charles Joseph Winters, M.D.
• Jeremy Wooten, PT, DPT

• Orthopaedic Surgery Physician in Vancleave, MS
• Providers in Vancleave, MS by specialty
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
• 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.