NPIMap

Individual provider Active NPI

Steven Philip Wittmer, MD

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1104820869
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-065551 Issued in IL
Practice address
150 S Ingleside St Ste 6
Fairhope, AL 36532-1804
Phone
(251) 990-1740
Fax
(251) 990-1831
NPI assigned
Jun 10, 2005
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-065551 IL Primary

Addresses

Primary practice location

150 S Ingleside St Ste 6
Fairhope, AL 36532-1804

Mailing address

150 S Ingleside St Ste 6
Fairhope, AL 36532-1804
Phone (251) 990-1740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214001126 AL Practitioner - Internal Medicine 0547162364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairhope Internal Medicine PCGroup PAC ID 6305884651, 9 clinicians

Practice addresses (Care Compare)

6 Medical Park
Fairhope, AL 36532-1804
Phone (251) 990-1740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-065551ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Fairhope Internal Medicine PC Internal Medicine CurrentSince May 5, 2014 Accepting new patients
Medical Park OBGYN PC CurrentSince Jun 14, 2020 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Medical Park Hospital LLC Past Accepting new patients
Foley Clinic Corp Internal Medicine Past Accepting new patients
Wake Forest Health Network LLC Internal Medicine Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

150 S Ingleside St
#6
Fairhope, AL 36532
Phone (251) 928-1222

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

6 Medical Park
Fairhope, AL 36532
Phone (251) 990-1740

6 Medical Park Dr
Fairhope, AL 36532
Phone (251) 990-1740

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

Interoperability endpoints

  • Direct secure messaging: steven.wittmer.1@17993.direct.athenahealth.com
  • Direct secure messaging: swittmer46648@directinfirmaryhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1104820869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMER",
        "first_name": "STEVEN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-065551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.