NPIMap

Organization Active NPI

Alan L Wittenberg DPM Inc

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1831227982
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001516 Issued in OH
Legal business name
ALAN L WITTENBERG DPM INC
Practice address
17929 Euclid Ave
Cleveland, OH 44112-1221
Phone
(216) 481-1890
Fax
(216) 481-1892
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Alan L Wittenberg, DPMNPI 1588649826
Title
Owner
Phone
(216) 481-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 36001516 OH Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO815 FL

Addresses

Primary practice location

17929 Euclid Ave
Cleveland, OH 44112-1221

Mailing address

17929 Euclid Ave
Cleveland, OH 44112
Phone (216) 481-1890

Other identifiers 2

IdentifierTypeStateIssuer
000000129597OtherOHANTHEMBCBS
0150492MedicaidOH

Other names 1

  • Alan L Wittenberg DPM Other name

National Provider Directory

National Provider Directory

Locations

17929 Euclid Ave
Cleveland, OH 44112
Phone (216) 481-1890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1831227982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17929 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44112",
            "telephone_number": "216-481-1890",
            "fax_number": "216-481-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121221",
            "telephone_number": "216-481-1890",
            "fax_number": "216-481-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L WITTENBERG DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "WITTENBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-481-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001516",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "000000129597",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150492",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan L Wittenberg DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.