Individual provider Active NPI

Anthony T. Wittman, M.D.

  • Family Medicine Physician
  • Olathe, KS
National Provider Identifier
1770695298
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-21225 Issued in KS
Practice address
1337 S Fountain Dr
Olathe, KS 66061-7205
Phone
(913) 397-7800
Fax
(913) 397-7801
NPI assigned
Aug 31, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-21225 KS Primary

Addresses

Primary practice location

1337 S Fountain Dr
Olathe, KS 66061-7205

Mailing address

18508 W 114TH St
Olathe, KS 66061-9364
Phone (913) 894-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas Current Accepting new patients
Rush County Memorial Hospital CurrentSince Jul 25, 2016 Accepting new patients
Central Kansas Medical Center Current Accepting new patients
Vein-Ity Vein Care Centers of Kansas LLC PastSince Oct 27, 2024 Accepting new patients
St. Joseph Memorial Hospital, Inc. Family Medicine Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Harrison County Community Hospital District Past Accepting new patients
St. Joseph Memorial Hospital, Inc. Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients

Locations

3515 Broadway Ave
Great Bend, KS 67530
Phone (620) 786-6163

3520 Lakin Ave
Ste 103
Great Bend, KS 67530
Phone (620) 792-3345

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

801 Locust St
#520
La Crosse, KS 67548
Phone (785) 222-2545

713 W 11th St
Larned, KS 67550
Phone (620) 285-6958

923 Carroll Ave
Larned, KS 67550
Phone (620) 285-3161

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1770695298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18508 W 114TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619364",
            "telephone_number": "913-894-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S FOUNTAIN DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617205",
            "telephone_number": "913-397-7800",
            "fax_number": "913-397-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "ANTHONY",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-21225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.