Organization Active NPI

Witter Family Medicine, PLC

  • Family Medicine Physician
  • Deridder, LA
National Provider Identifier
1841482999
Registry record updated Nov 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42719 Issued in TN
Legal business name
WITTER FAMILY MEDICINE, PLC
Practice address
305 W 7TH St
Suite C
Deridder, LA 70634-4982
Phone
(931) 647-4550
NPI assigned
Aug 13, 2007
Last updated
Nov 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2013

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

Authorized official

Name
Dr. Douglas A Witter
Title
Member
Phone
(931) 647-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42719 TN Primary

Addresses

Primary practice location

305 W 7TH St
Suite C
Deridder, LA 70634-4982

Mailing address

305 W 7TH St
Suite C
Deridder, LA 70634-4982
Phone (931) 647-4550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385596800000",
    "number": "1841482999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 7TH ST",
            "address_2": "SUITE C",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344982",
            "telephone_number": "931-647-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 7TH ST",
            "address_2": "SUITE C",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344982",
            "telephone_number": "931-647-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTER FAMILY MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-11-28",
        "status": "A",
        "authorized_official_last_name": "WITTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-647-4550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "42719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2013; 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.