Active NPI
E. Milton Witthoff Jr., M.D.
- General Practice Physician
- Jersey Shore, PA
National Provider Identifier
1851680284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD006295E
- Practice address
- 1563 Torbert LN
Jersey Shore, PA 17740 - Phone
- (570) 753-5964
- NPI assigned
- Apr 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD006295E | PA | Primary |
Addresses
Primary practice location
1563 Torbert LN
Jersey Shore, PA 17740
Mailing address
1563 Torbert LN
Jersey Shore, PA 17740
Phone (570) 753-5964
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD006295E | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1851680284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 TORBERT LN",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "17740",
"telephone_number": "570-753-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 TORBERT LN",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "17740",
"telephone_number": "570-753-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTHOFF",
"first_name": "E.",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD006295E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey Shore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.