Individual provider Active NPI

Patrick George Wiita, M.D.

  • Psychiatry Physician
  • Hilton Head Island, SC
National Provider Identifier
1841558772
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
82143 Issued in SC
Practice address
33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612
Phone
(843) 802-9030
NPI assigned
Apr 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 82143 SC Primary
Psychiatry Physician 2084P0800X A124938 CA

Addresses

Primary practice location

33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612

Mailing address

33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612
Phone (843) 802-9030

Other practice location 1

2121 W Temple St Bldg ABC
Los Angeles, CA 90026-4915
Phone (213) 260-7600

Other practice location 2

10850 Wilshire Blvd Ste 850
Los Angeles, CA 90024-4608
Phone (424) 280-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124938CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reunion Health, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

33 Office Park Rd
Ste A166
Hilton Head Island, SC 29928
Phone (843) 802-9030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1841558772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OFFICE PARK RD STE A-166",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284612",
            "telephone_number": "843-802-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OFFICE PARK RD STE A-166",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284612",
            "telephone_number": "843-802-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 W Temple St Bldg ABC",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264915",
            "country_code": "US",
            "telephone_number": "213-260-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10850 Wilshire Blvd Ste 850",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244608",
            "country_code": "US",
            "telephone_number": "424-280-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIITA",
        "first_name": "PATRICK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-28",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "82143",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A124938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.