Martiann Lee Bohl-Witchey, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4382 Issued in OK

Practice address

12455 E 100TH St N Ste 220
Owasso, OK 74055-4675

Phone

(918) 274-5555

NPI assigned

Aug 4, 2006

Last updated

Dec 20, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  Obstetrics & Gynecology

  Medicare reassignment NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1386652097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N STE 220",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554675",
            "telephone_number": "918-274-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N STE 220",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554675",
            "telephone_number": "918-274-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL-WITCHEY",
        "first_name": "MARTIANN",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Dalee Blunt I
• BMC Anesthesia PC
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Nephrology Owasso)
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Tulsa Central States Orthopedic)
• Body Firm, Inc
• Barbara Roberts Bold, LPC
• Courtney Bolles
• Paula Ann Bonebrake, MS
• Christel Borland, COTA/L
• Bounce Back Rehab, PLC

• Obstetrics & Gynecology Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.