Venus Wittenauer, D.O., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34006914M Issued in OH

Legal business name

VENUS WITTENAUER, D.O., INC

Practice address

1517 N Market St
East Palestine, OH 44413-1153

Phone

(330) 426-3578

Fax

(330) 426-2458

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Venus Wittenauer, D.O.

Title

President

Phone

(330) 426-3578

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1124312392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444130489",
            "telephone_number": "330-426-3578",
            "fax_number": "330-426-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N MARKET ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131153",
            "telephone_number": "330-426-3578",
            "fax_number": "330-426-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS WITTENAUER, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "WITTENAUER",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-426-3578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34006914M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in East Palestine, OH
• Providers in East Palestine, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.