Julia Annette Pewitt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2003014169 Issued in MO

Practice address

2387 W Jackson Blvd
Jackson, MO 63755-3024

Phone

(573) 243-9288

Fax

(573) 204-7074

NPI assigned

Jan 19, 2009

Last updated

Sep 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1346487931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553024",
            "telephone_number": "573-243-9288",
            "fax_number": "573-204-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553024",
            "telephone_number": "573-243-9288",
            "fax_number": "573-204-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWITT",
        "first_name": "JULIA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2003014169",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Ryan Partridge, M.S. SLP-CCC
• Patriot Medical Supplies
• Patriot Medical Supplies
• Aliecia Diann Penrod
• Charles S Pewitt, DO
• Richel Pingkian
• Lindsey Michelle Pippins, MABC, BT, QIDP, DDP
• Kaitlyn C Poythress, MA, BCBA, LBA
• Alissa Marie Quaite, ED.S, LPC, RPT
• Quincy Medical Supplies, LLC

• Family Medicine Physician in Jackson, MO
• Providers in Jackson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.