Individual provider Active NPI

Lori Marie Wittman, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Junction, CO
National Provider Identifier
1790946200
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0051635 Issued in CO
Practice address
2525 N 8TH St
Ste 202
Grand Junction, CO 81501-8847
Phone
(970) 986-8900
Fax
(970) 233-7769
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR51835 CO
Obstetrics & Gynecology Physician 207V00000X 0051635 CO Primary

Addresses

Primary practice location

2525 N 8TH St
Ste 202
Grand Junction, CO 81501-8847

Mailing address

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20121108000357 CO Practitioner - Obstetrics/Gynecology 1850542408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2525 N 8TH St
Suite 202 Wellington OB GYN Clinic
Grand Junction, CO 81501-8847
Phone (970) 245-1168

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0051635COMDObstetrics & Gynecology Physician
DR51835COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Colorado, P.C. Obstetrics & Gynecology CurrentSince Dec 3, 2015 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 26, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 26, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Obstetrics & Gynecology Current Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

610 25 Rd
Grand Junction, CO 81505
Phone (970) 298-9600

750 Wellington Ave
Ste 3C
Grand Junction, CO 81501
Phone (970) 243-7908

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2525 N 8th St
Ste 202
Grand Junction, CO 81501
Phone (970) 245-1168

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

Interoperability endpoints

  • Direct secure messaging: lwittman59199@direct.intermountainhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1790946200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-771-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST",
            "address_2": "STE 202",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018847",
            "telephone_number": "970-986-8900",
            "fax_number": "970-233-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR51835",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "0051635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.