Active NPI
James D Witter Jr., PA-C
- Physician Assistant
- David City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 810
- Practice address
- 358 S 10TH St
David City, NE 68632-2145 - Phone
- (402) 367-3322
- Fax
- (402) 367-3311
- NPI assigned
- Jun 30, 2006
- Last updated
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 810 | NE | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler County Health Care Center | Physician Assistant | Current | Accepting new patients |
| Witter Family Medicine | Past | Accepting new patients |
Locations
372 S 9th St
David City, NE 68632
Phone (402) 367-1200
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Witter Family Medicine | Rural health clinic | W-2 Managing Employee | May 1, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
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.
-
- Critical Access Hospital
- David City, NE
- NPI 1790780237
Physician Assistant
-
- Family Medicine Physician
- David City, NE
- NPI 1942239421
-
- Primary Care Clinic/Center
- David City, NE
- NPI 1003949199
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- David City, NE
- NPI 1790780237
-
dba Columbus Community Hospital
- General Acute Care Hospital
- Columbus, NE
- NPI 1760589295
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
dba Brookestone Of David City
- Skilled Nursing Facility
- David City, NE
- NPI 1306376074
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1861421174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 S 10TH ST",
"address_2": "PO BOX 110",
"city": "DAVID CITY",
"state": "NE",
"postal_code": "686322145",
"telephone_number": "402-367-3322",
"fax_number": "402-367-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 S 10TH ST",
"city": "DAVID CITY",
"state": "NE",
"postal_code": "686322145",
"telephone_number": "402-367-3322",
"fax_number": "402-367-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTER",
"first_name": "JAMES",
"middle_name": "D",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in David City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.