Organization Active NPI

Paul Witt DO PLLC

  • Internal Medicine Physician
  • Plains, PA
National Provider Identifier
1174147656
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAUL WITT DO PLLC
Practice address
59 East Carey Street
Plains, PA 18705-1870
Phone
(570) 823-7643
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Paul Witt, DONPI 1457706996
Title
Physician/Owner
Phone
(570) 690-3707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

59 East Carey Street
Plains, PA 18705-1870

Mailing address

59 East Carey Street
Plains, PA 18705
Phone (570) 823-7643

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PLAINS Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811000429 PA Part B Supplier - Clinic/Group Practice 0648695403 Receives reassigned benefits from 1 practitioner
Practice locations: Plains, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1174147656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 EAST CAREY STREET",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18705",
            "telephone_number": "570-823-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 EAST CAREY STREET",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051870",
            "telephone_number": "570-823-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL WITT DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "570-690-3707",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PLAINS",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pjwittmdoffice@gmail.com",
            "address_1": "59 EAST CAREY STREET",
            "city": "PLAINS",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187051870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.