Mark T. Witkowski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16996 Issued in WV

Practice address

1 Hospital PLZ
Grafton, WV 26354-1283

Phone

(304) 265-7406

Fax

(304) 265-6443

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1659366052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MAPLE AVE",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541823",
            "telephone_number": "304-265-4131",
            "fax_number": "304-265-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-7406",
            "fax_number": "304-265-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "MARK",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053404000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Whittaker, RD
• Melissa Wilfong
• Thomas F Wilshire III, D.O.
• Gloria Wilson
• Rachel M Wilt, D.D.S.
• Brenda Lee Wolfe
• Darren Keith Wolfe
• Tonya Denise Wolfe
• Morgan Anne Wood
• Shayla Wood

• Family Medicine Physician in Grafton, WV
• Providers in Grafton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.