Active NPI
Robert R Witham, MD
- Internal Medicine Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00017298
- Practice address
- 3920 Capital Mall Dr SW
Suite 100
Olympia, WA 98502-8701 - Phone
- (360) 753-4700
- Fax
- (360) 753-6700
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00017298 | WA | Primary |
| Gastroenterology Physician | 207RG0100X | MD00017298 | WA | |
| Hematology & Oncology Physician | 207RH0003X | MD00017298 | WA |
Addresses
Primary practice location
3920 Capital Mall Dr SW
Suite 100
Olympia, WA 98502-8701
Mailing address
3920 Capital Mall Dr SW
Suite 100
Olympia, WA 98502-8701
Phone (360) 753-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506807 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Oregon Health Sciences University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
224 N Washington St
Port Angeles, WA 98362-3908
3920 Capital Mall Dr SW
Suite 100
Olympia, WA 98502-8701
Phone (360) 452-5322
Hospital & facility affiliations
- Olympic Medical Center
- Capital Medical Center
- Jefferson Healthcare
- Providence St Peter Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert R. Witham, MD. Inc,PS | Internal Medicine | Current | Accepting new patients |
| Argus Oncology LLC | Past | Accepting new patients | |
| Capital Oncology PLLC | Hematology & Oncology | Past | Accepting new patients |
Locations
3920 Capital Mall Dr SW
Ste 100
Olympia, WA 98502
Phone (360) 753-4700
405 Black Hills Ln SW
Ste B2
Olympia, WA 98502
Phone (206) 943-1438
224 N Washington St
Port Angeles, WA 98362
Phone (336) 269-3780
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Port Angeles, WA
- NPI 1023361367
-
- Oncology Clinic/Center
- Auburn, WA
- NPI 1326249541
-
- Hematology & Oncology Physician
- Olympia, WA
- NPI 1720109457
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1649296971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW",
"address_2": "SUITE 100",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028701",
"telephone_number": "360-753-4700",
"fax_number": "360-753-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW",
"address_2": "SUITE 100",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028701",
"telephone_number": "360-753-4700",
"fax_number": "360-753-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHAM",
"first_name": "ROBERT",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00017298",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00017298",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00017298",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506807",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.