Organization Active NPI

William S. Witt, PLLC

  • Diagnostic Radiology Physician
  • Irvine, KY
National Provider Identifier
1356545099
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22069 Issued in KY
Legal business name
WILLIAM S. WITT, PLLC
Practice address
60 Mercy CT
Marcum & Wallace Hospital
Irvine, KY 40336-1331
Phone
(606) 723-2115
NPI assigned
Jun 14, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
William S. Witt, M.D.NPI 1508079195
Title
President
Phone
(502) 226-3858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22069 KY Primary

Addresses

Primary practice location

60 Mercy CT
Marcum & Wallace Hospital
Irvine, KY 40336-1331

Mailing address

PO Box 508
Richmond, KY 40476-0508
Phone (502) 226-3858

Other identifiers 2

IdentifierTypeStateIssuer
000000232384OtherKYANTHEM BLUE CROSS PIN
65937377MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1356545099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404760508",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERCY CT",
            "address_2": "MARCUM & WALLACE HOSPITAL",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361331",
            "telephone_number": "606-723-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. WITT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-226-3858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "22069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000232384",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937377",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.