Lisa Jane Dewitt, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS0007033 Issued in FL

Practice address

6500 Flotilla Dr
Holmes Beach, FL 34217-1464

Phone

(941) 778-3525

NPI assigned

Oct 13, 2006

Last updated

Mar 13, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700130432
  NPD (past)
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Blountstown, FL
  • NPI 1306198502
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1558451641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 57TH ST N",
            "address_2": "BUILDING #1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352173328",
            "telephone_number": "205-808-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 FLOTILLA DR",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "342171464",
            "telephone_number": "941-778-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "LISA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0007033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Barrese, MD
• Claudia J Carlson, FNP
• Joseph John Catera, PHARMD
• Elaine Comerford, LCSW
• Dena Marie Dahlquist, ARNP-C
• Christina Elene Dowd, PHARMD
• Ashley Ferrise, PHARM D.
• Functional Nutrition & Wellness LLC
• Natalia Garcia, RD, LDN, CISSN
• Cheryl Eastlund Gowin, RMHI

• Emergency Medicine Physician in Holmes Beach, FL
• Providers in Holmes Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.