Gregory P. Wittpenn, MD PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

GREGORY P. WITTPENN, MD PA

Doing business as

New Horizons Plastic Surgery

Practice address

3616 N University Dr
Nacogdoches, TX 75965-2539

Phone

(936) 564-3744

NPI assigned

Jan 8, 2008

Last updated

Jan 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Paul WittpennNPI 1326007303

Title

Physician

Phone

(936) 564-3744

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• New Horizons Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Gregory Paul Wittpenn, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Nacogdoches, TX
  • NPI 1326007303

  Plastic Surgery

  Medicare reassignment NPD Authorized official
• Kevin L Tomsic, MD, DC

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1659570356
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1366627499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-564-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-564-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P. WITTPENN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "WITTPENN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-564-3744",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007OLY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173182001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Horizons Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Graves
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• Gregory E Hyde MD PHD PA
• Kelly Michelle Griffin, SLP
• Griffith Family Medicine, PLLC
• David Grigsby, DDS
• Allen Tracy Grisson, M.D.
• Tyrrel C Grohman, MD

• Plastic and Reconstructive Surgery Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.