James D Witter Jr., PA-C
Individual provider Active NPI Physician Assistant · David City, NE
NPI 1861421174 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1861421174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 810 (NE)
- Practice address
- 358 S 10TH St
David City, NE 68632-2145 - Phone
- (402) 367-3322
- Fax
- (402) 367-3311
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
-
Jo Anna Witter, MD
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
-
Jo Anna Witter, MD
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
358 S 10TH PO Box
Suite 110
David City, NE 68632-2145
358 S 10TH St PO Box
Suite 110
David City, NE 68632-2145
Hospital & facility affiliations
- Angels Care Home Health
- The Nebraska Medical Center
- Butler County Health
- Columbus Community Hospital, Inc
- Brookestone of David City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Witter Family Medicine |
Rural health clinic | W-2 Managing Employee | May 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614000653 | NE | Practitioner - Physician Assistant | 9234113804 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witter Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 810 | NE | Yes |
Addresses
Primary practice location
358 S 10TH St
David City, NE 68632-2145
Mailing address
358 S 10TH St
PO Box 110
David City, NE 68632-2145
Phone (402) 367-3322
Other providers in David City, NE
- Carrie Lynn Thoendel
- Victor James Thoendel
- VSL David City LLC
- Jerry Brian Wessling
- Witter Family Medicine
- Jo Anna Witter
- Staci Worm
- Hannah Wurl
All providers in David City, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.