Daniel James Dittus, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

LL39344 Issued in SC

Practice address

14 Medical Park Ste 350
Emergency Medicine Department
Columbia, SC 29203

Phone

(803) 434-3790

Fax

(803) 434-3946

NPI assigned

Jun 7, 2016

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 OK, TX, MO3 enrollments

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 3

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Mercy Hospital CarthageGroup PAC ID 8426225251, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
• Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
• Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
• Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
• Direct secure messaging: ddittus266101@ahs.direct-ci.com

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.

• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  OK

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• Green Country Emergency Physicians Group of Tulsa PLLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972698553

  Emergency Medicine, MO, OK

  Medicare reassignment Care Compare group NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955

  Emergency Medicine, MO

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  • Pharmacy
  • Okemah, OK
  • NPI 1033229992
  Care Compare group
• Creek Nation Hospital & Clinics

  • Ambulatory Surgical Clinic/Center
  • Okemah, OK
  • NPI 1104516871
  Care Compare group
• Creek Nation Hospital & Clinics

  • Pharmacy
  • Okmulgee, OK
  • NPI 1154430031
  Care Compare group
• Creek Nation Hospital & Clinics

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tulsa, OK
  • NPI 1265004667
  Care Compare group
• Creek Nation Hospital & Clinics

  • Medicare Defined Swing Bed Hospital Unit
  • Okmulgee, OK
  • NPI 1376972471
  Care Compare group
• Creek Nation Hospital & Clinics

  • Long Term Care Hospital
  • Okmulgee, OK
  • NPI 1376979955
  Care Compare group
• Creek Nation Hospital & Clinics

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Wetumka, OK
  • NPI 1407116668
  Care Compare group
• Creek Nation Hospital & Clinics

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sapulpa, OK
  • NPI 1457460321
  Care Compare group

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

• Ahs Claremore Regional Hospital, LLC.

  • General Acute Care Hospital
  • Claremore, OK
  • NPI 1023398807

  Hospital

  Care Compare affiliation
• Ahs Hillcrest Medical Center, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229

  Hospital

  Care Compare affiliation
• Bailey Medical Center, LLC

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1205846037

  Hospital

  Care Compare affiliation
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955

  Hospital

  Care Compare affiliation
• Mercy Hospital Carthage

  • General Acute Care Hospital
  • Carthage, MO
  • NPI 1396012753

  Hospital

  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1154770469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK STE 350",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-3790",
            "fax_number": "803-434-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK STE 350",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-3790",
            "fax_number": "803-434-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTUS",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL39344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Therapies, Inc.
• Jamie Lea Disharoon
• Melissa Disilvestro, LCSW
• Catherine Disspayne
• Katelyn Davis Ditch, PHARMD
• Russell E. Ditzler, MD
• Jonathan Daniel Diveglia
• Divine Movement & Consulting LLC
• Divine Purpose Homecare LLC
• Divinely Guided Home and Private Care LLC

• All providers in Columbia, SC
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.