Sarah Anne Witesman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10140302-8906 Issued in UT

Practice address

1075 SW Grandview Ave Ste 200
Grants Pass, OR 97527-5118

Phone

(414) 798-3635

Fax

(541) 476-2841

NPI assigned

Oct 31, 2016

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Anne Callister Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

State University of Ny Upstate Medical University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Health Center of Southern Oregon PCGroup PAC ID 8628041720, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sarahwitesman@whcso.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Health Center of Southern Oregon PC

  • Obstetrics & Gynecology Physician
  • Grants Pass, OR
  • NPI 1528175437
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Asante Three Rivers Medical Center, LLC

  • General Acute Care Hospital
  • Grants Pass, OR
  • NPI 1801891809
  Care Compare affiliation

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1851843353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SW GRANDVIEW AVE STE 200",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275118",
            "telephone_number": "414-798-3635",
            "fax_number": "541-476-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SW GRANDVIEW AVE STE 200",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275118",
            "telephone_number": "414-798-3635",
            "fax_number": "541-476-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 E 200 N Ste 250",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032028",
            "country_code": "US",
            "telephone_number": "801-855-2980",
            "fax_number": "801-855-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITESMAN",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10140302-8906",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10140302-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CALLISTER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John David Wilson, MD
• Latara A Wilson, MA, CMHA
• William Lloyd Wilson
• Ronald Wayne Winfrey
• Troy Winger
• Shawna Lea Wittner, QMHA
• Sommer Wolcott, MS, CRC, LPC
• Melody Lauren Wolf
• Brandon Wolter, LMT
• Shannon Wolters

• Physician Assistant in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.

Verify at the official NPI Registry.