Individual provider Active NPI

Jeffrey William Bittner, MD

  • Obstetrics & Gynecology Physician
  • Ottumwa, IA
National Provider Identifier
1780688713
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28585 Issued in IA
Practice address
1005 Pennsylvania Ave
Ste 204
Ottumwa, IA 52501-6414
Phone
(641) 682-8761
Fax
(641) 682-2764
NPI assigned
Jun 8, 2005
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28585 IA Primary

Addresses

Primary practice location

1005 Pennsylvania Ave
Ste 204
Ottumwa, IA 52501-6414

Mailing address

1005 Pennsylvania Ave
Ste 204
Ottumwa, IA 52501-6414
Phone (641) 682-8761

Other identifiers 1

IdentifierTypeStateIssuer
0081893MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20080115000861 IA Practitioner - Obstetrics/Gynecology 8426012311 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28585IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince Jul 1, 2010 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jul 1, 2010 Accepting new patients

Locations

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1005 Pennsylvania Ave
Ste 204
Ottumwa, IA 52501
Phone (641) 682-8761

Organizations & group practices 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1780688713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "STE 204",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016414",
            "telephone_number": "641-682-8761",
            "fax_number": "641-682-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "STE 204",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016414",
            "telephone_number": "641-682-8761",
            "fax_number": "641-682-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "28585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081893",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.