Individual provider Active NPI

Christopher Jacob Witke, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1811950769
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45384-020 Issued in WI
Practice address
221 13TH Avenue PL NW
Hickory, NC 28601-2596
Phone
(828) 324-1699
Fax
(828) 324-0281
NPI assigned
Apr 11, 2006
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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 45384-020 WI Primary

Addresses

Primary practice location

221 13TH Avenue PL NW
Hickory, NC 28601-2596

Mailing address

221 13TH Avenue PL NW
Hickory, NC 28601-2596
Phone (828) 324-1699

Other identifiers 5

IdentifierTypeStateIssuer
34351500MedicaidWI
2005352OtherWIPHYSICIANS PLUS
P00715610OtherNCRAILROAD MEDICARE
60101OtherWIDEAN HEALTH PLAN
5911820MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090520000551 NC Practitioner - Family Practice 5395767719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

2712 S NC 127 Hwy
Hickory, NC 28602-9130
Phone (828) 732-5150

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01923NCMDPain Medicine (Anesthesiology) Physician
45384-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 1, 2022 Accepting new patients
Catawba Valley Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Past Accepting new patients
Dean Health Systems, Inc, Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

2712 S NC 127 Hwy
Hickory, NC 28602
Phone (828) 294-4100

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: christopher.witke@cvmg.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1811950769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-324-1699",
            "fax_number": "828-324-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-324-1699",
            "fax_number": "828-324-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45384-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34351500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "2005352",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00715610",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "60101",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.