Michael Anthony Witt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35122511 Issued in OH

Practice address

1425 N Fairfield Rd.
Ste 110
Beavercreek, OH 45432-4543

Phone

(937) 426-0106

Fax

(937) 426-7153

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

University of Cincinnati College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Integrated Medical Assoc LTDGroup PAC ID 9032101399, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Homecare Home health agency, Kettering, OH, CCN 367778
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1811953052
  Medicare reassignment Care Compare group NPD
• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1245297753
  NPD
• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1285690339
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Adventist Health System Georgia Inc

  • Multi-Specialty Clinic/Center
  • Calhoun, GA
  • NPI 1699791343
  NPD (past)
• Medmark Treatment Centers of Georgia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chatsworth, GA
  • NPI 1477041143
  NPD (past)
• Murray Medical Center, Inc.

  • General Acute Care Hospital
  • Chatsworth, GA
  • NPI 1972600211
  NPD (past)
• Murray Mountain Medical Center

  • Nurse Practitioner
  • Eton, GA
  • NPI 1023289865
  NPD (past)

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

• Alternate Solutions Homecare of Dayton, LLC

  • Home Health Agency
  • Kettering, OH
  • NPI 1639195332
  Care Compare affiliation
• Beavercreek Medical Center

  • General Acute Care Hospital
  • Beavercreek, OH
  • NPI 1760764849
  Care Compare affiliation
• Dayton Osteopathic Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1154373199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERCHANT STREET",
            "address_2": "SUITE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463740",
            "telephone_number": "513-533-6507",
            "fax_number": "513-645-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD.",
            "address_2": "STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454324543",
            "telephone_number": "937-426-0106",
            "fax_number": "937-426-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "26045",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35122511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00283621A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lapearl Logan Winfrey, PH.D
• Wings of Love Services
• Beverly Ann Wirth, R.N.
• Mackenzie Wise
• Sarah Wiswell, PT, DPT
• Scarlett Lindsay Wolfinbarger, CNP
• Bradley Wolodkiewicz, PHARM.D
• Emma Louise Wood, LSW
• Kanitha Chelese Wood, APRN
• Patricia Woods

• Family Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.