Organization Active NPI

William O. Witt, M.D., PLLC

  • Interventional Pain Medicine Physician
  • Lexington, KY
National Provider Identifier
1558590380
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
19042 Issued in KY
Legal business name
WILLIAM O. WITT, M.D., PLLC
Practice address
2050 Versailles Rd
Suite 205
Lexington, KY 40504-1405
Phone
(859) 367-7246
Fax
(859) 254-5715
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
William Orin Witt, M.D.
Title
Owner/Registered Agent
Phone
(859) 367-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 19042 KY Primary

Addresses

Primary practice location

2050 Versailles Rd
Suite 205
Lexington, KY 40504-1405

Mailing address

3649 Solutions Center
Chicago, IL 60677-3006
Phone (859) 367-7246

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

National Provider Directory

National Provider Directory

Locations

3649 Solutions Ctr
Chicago, IL 60677

2050 Versailles Rd
Ste 205
Lexington, KY 40504
Phone (859) 367-7246

2050 Versailles Rd
Ste B1
Lexington, KY 40504
Phone (859) 367-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1558590380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 SOLUTIONS CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773006",
            "telephone_number": "859-367-7246",
            "fax_number": "859-254-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VERSAILLES RD",
            "address_2": "SUITE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041405",
            "telephone_number": "859-367-7246",
            "fax_number": "859-254-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM O. WITT, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ORIN",
        "authorized_official_title_or_position": "OWNER/REGISTERED AGENT",
        "authorized_official_telephone_number": "859-367-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "19042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.