Active NPI
Tyler Witmer, PA-C
- Physician Assistant
- Cedar Falls, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA182471
- Practice address
- 2316 Valley Park Dr
Cedar Falls, IA 50613-4428 - Phone
- (319) 239-5832
- NPI assigned
- Jan 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002262 | IA | |
| Physician Assistant | 363A00000X | PA182471 | OR | Primary |
Addresses
Primary practice location
2316 Valley Park Dr
Cedar Falls, IA 50613-4428
Mailing address
109B E Ellendale Ave
Dallas, OR 97338-1794
Phone (503) 437-3594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 B E Ellendale Ave
Dallas, OR 97338-1794
Phone (503) 623-3199
Hospital & facility affiliations
- Legacy Silverton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Acute Care Specialists PC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Emurgent Care LLC | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
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.
-
- Urgent Care Clinic/Center
- Dallas, OR
- NPI 1265871123
-
- Emergency Medicine Physician
- Portland, OR
- NPI 1215983200
-
- Emergency Medicine Physician
- Salem, OR
- NPI 1063454395
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1487811048
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
-
- Urgent Care Clinic/Center
- Dallas, OR
- NPI 1790188043
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1831460922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109B E ELLENDALE AVE",
"city": "DALLAS",
"state": "OR",
"postal_code": "973381794",
"telephone_number": "503-437-3594",
"fax_number": "503-623-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 VALLEY PARK DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506134428",
"telephone_number": "319-239-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "TYLER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002262",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA182471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.