Doyle Thomas Witt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036141161 Issued in IL

Practice address

2319 Old Plank Rd
Chester, IL 62233-1153

Phone

(618) 826-2388

NPI assigned

Apr 15, 2013

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

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

Enrolled in MO

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

Specialty

Emergency Medicine

Education

Saint Louis University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Electric City Emergency Physicians LLCGroup PAC ID 9739225186, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: doyle.witt.1@15058.direct.athenahealth.com

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.

• Electric City Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Butler, MO
  • NPI 1659604254
  Medicare reassignment Care Compare group NPD

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

• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1649613134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KNOLLWOOD DR",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331415",
            "telephone_number": "417-880-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 OLD PLANK RD",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331153",
            "telephone_number": "618-826-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DOYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Tressler
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• Walmart Inc.
• Kathleen Ann Winkler, RPH
• Andrea Winterberg, RPH
• Dorothy J Zajac, MD

• Family Medicine Physician in Chester, IL
• Providers in Chester, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.

Verify at the official NPI Registry.