Ward S Dewitt, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

7276 Issued in MT

Practice address

2825 Fort Missoula Rd
Suite 317C
Missoula, MT 59804-7420

Phone

(406) 728-5428

Fax

(406) 728-5458

NPI assigned

Aug 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allergy and Infusion Services of Missoula, PLLC

  • Allergy & Immunology Physician
  • Missoula, MT
  • NPI 1477661874
  NPD (past) Authorized official

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710095211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "SUITE 317C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-728-5428",
            "fax_number": "406-728-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "SUITE 317C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-728-5428",
            "fax_number": "406-728-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "WARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MT",
            "license": "7276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042296",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Casebolt Desrosier, PHARMD
• Audrey Dettmann, DC
• Destiny Dawn Devine, MSW
• Mary Devlin-McKay, LCSW
• Stacey M. Dewitt, MA, LCPC
• Ellen S Dewolfe, MSN PC
• Katherine Dexter, DNP, APRN-BC
• Johna Dhuyvetter
• Diane V Haddon PLLC
• Amber Diaz, DPT

• Allergy & Immunology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Allergy & Immunology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.