Lisa A. Witherite-Rieg, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 008448 Issued in PA

Practice address

22 Industrial Park Rd
Brookville, PA 15825-7228

Phone

(814) 849-0990

Fax

(814) 849-0992

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Punxsutawney Medical Associates, PC

  • Family Medicine Physician
  • Punxsutawney, PA
  • NPI 1871536821
  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1205821519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6560",
            "fax_number": "814-372-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 INDUSTRIAL PARK RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257228",
            "telephone_number": "814-849-0990",
            "fax_number": "814-849-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Allegheny Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158252323",
            "country_code": "US",
            "telephone_number": "814-849-0990",
            "fax_number": "814-849-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERITE-RIEG",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 008448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001523858-0055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian F Wallace, DC
• William J Weaver, DMD
• Kortney Marie Wiant
• William J. Lynch, D.O., Inc. (Family Practice Associates)
• Amanda Renee Williams, COTA
• Workplace Health
• WRC Health Care Support Services
• WRC Pennsylvania Memorial Home (McKinley Health Center)
• Y M Bhatnagar MD Inc
• Michael Thomas Zatorsky Jr., O.D.

• Family Medicine Physician in Brookville, PA
• Providers in Brookville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.