NPIMap

Individual provider Active NPI

Anthony J Witte, MD

  • Family Medicine Physician
  • Plainfield, VT
National Provider Identifier
1639137706
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0016083 Issued in VT
Practice address
157 Towne Ave
Plainfield, VT 05667-9425
Phone
(802) 454-8336
Fax
(802) 454-8339
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 169902 NY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 169902 NY
Family Medicine Physician 207Q00000X 042.0016083 VT Primary

Addresses

Primary practice location

157 Towne Ave
Plainfield, VT 05667-9425

Mailing address

10869 Rte 36 South
PO Box 601
Dansville, NY 14437-0601
Phone (585) 335-3416

Other identifiers 1

IdentifierTypeStateIssuer
01282291MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811001024 VT Practitioner - Family Practice 9234215013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

157 Towne Ave
Plainfield, VT 05667-9425
Phone (802) 454-8336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0016083VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Washington County Community Health, Inc. CurrentSince Aug 9, 2022 Accepting new patients
Northeast Washington County Community Health Inc CurrentSince Aug 9, 2022 Accepting new patients

Locations

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1639137706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 RTE 36 SOUTH",
            "address_2": "PO BOX 601",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370601",
            "telephone_number": "585-335-3416",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679425",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "169902",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "169902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0016083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, VT

Sources for this page

Verify at the official NPI Registry.