John T. Witte, M.D., P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

M5529 Issued in ID

Legal business name

JOHN T. WITTE, M.D., P.A.

Practice address

2235 E Gala St
Meridian, ID 83642-8026

Phone

(208) 887-3724

Fax

(208) 887-1682

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John T Witte, MD

Title

Provider

Phone

(208) 343-6458

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1275863243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-1702",
            "fax_number": "208-342-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428026",
            "telephone_number": "208-887-3724",
            "fax_number": "208-887-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-342-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026035",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-343-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN T. WITTE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "208-343-6458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M5529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002733600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JHKK Periodontics, PLLC
• JLN Ventures LLC
• Joanne Burgio PHD LLC
• Matthew Johansen, MS, LCPC, QSUDP
• Renee Johanson, LCPC
• Mariah Johns Garcia, LCSW
• Michelle Kidder Johns, PT
• Stacey Marie Johns
• Aimee Elizabeth Johnson, LPC
• Ashley Mary Johnson

• Gastroenterology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Gastroenterology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.