NPIMap

Individual provider Active NPI

Sarah Jane Witsberger, M.D.

  • Obstetrics & Gynecology Physician
  • Charleston, WV
National Provider Identifier
1184002032
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30466 Issued in WV
Practice address
830 Pennsylvania Ave Ste 304
Charleston, WV 25302-3390
Phone
(304) 388-1515
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2019-01854 NC
Obstetrics & Gynecology Physician 207V00000X 30466 WV Primary

Addresses

Primary practice location

830 Pennsylvania Ave Ste 304
Charleston, WV 25302-3390

Mailing address

830 Pennsylvania Ave Ste 304
Charleston, WV 25302-3390

Other practice location 1

Medical Center Blvd
Department of Obstetrics and Gynecology
Winston Salem, NC 27157-0001
Phone (336) 716-4615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address switsberger294846@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190905002711 NC Practitioner - Obstetrics/Gynecology 8123336286
I20210723000366 WV Practitioner - Obstetrics/Gynecology 8123336286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

830 Pennsylvania Ave
Suite 304
Charleston, WV 25302-3390
Phone (304) 388-1515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Mar 24, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 18, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
North Carolina Baptist Hospital Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 304
Charleston, WV 25302
Phone (304) 388-1515

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

830 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 343-5735

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

315 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 647-3500

Interoperability endpoints

  • Direct secure messaging: sarah.witsberger.1@16450.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1184002032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023390",
            "telephone_number": "304-388-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_2": "Department of Obstetrics and Gynecology",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITSBERGER",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-01854",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "30466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "switsberger294846@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "830 Pennsylvania Ave",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253023302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.