David M. Witham MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4607 Issued in AK

Legal business name

DAVID M. WITHAM MD INC

Practice address

1411 19TH Ave
Fairbanks, AK 99701-5902

Phone

(907) 457-4900

Fax

(907) 457-4913

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David M Witham, M.D.

Title

President

Phone

(907) 452-5527

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16532/brand/1/csg/1/fhir/r4

Practitioners 1

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

• John W. Joosse, M.D.

  • Specialist
  • Fairbanks, AK
  • NPI 1609981265
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1194918367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015902",
            "telephone_number": "907-457-4900",
            "fax_number": "907-457-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015902",
            "telephone_number": "907-457-4900",
            "fax_number": "907-457-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. WITHAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "WITHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-452-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "4607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1457328197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Daniels
• David C Hobson DDS Ms PC
• David M Stieber MD Facc, Inc
• David M Stieber MD Facc, Inc
• David M. Stieber MD Facc, Inc
• David S Grauman MD PC (Alaska Occupational Health)
• Alberta Louise David
• Jordanna Sheri David
• Tyler Kane David
• Nancy Davidian, BA, BSN, RN

• Medical Specialty Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Medical Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.