Active NPI
W. Norman Sitz, MD
- Internal Medicine Physician
- Pendleton, OR
National Provider Identifier
1871575720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD09509
- Practice address
- 1100 Southgate
Suite #2
Pendleton, OR 97801-3974 - Phone
- (541) 276-1911
- NPI assigned
- Nov 16, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD09509 | OR | Primary |
Addresses
Primary practice location
1100 Southgate
Suite #2
Pendleton, OR 97801-3974
Mailing address
1100 Southgate
Suite #2
Pendleton, OR 97801-3974
Phone (541) 276-1911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29071-8 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowhawk Tribal Health Center | Current | Accepting new patients |
Locations
46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830
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": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871575720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTHGATE",
"address_2": "SUITE #2",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013974",
"telephone_number": "541-276-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SOUTHGATE",
"address_2": "SUITE #2",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013974",
"telephone_number": "541-276-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITZ",
"first_name": "W.",
"middle_name": "NORMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD09509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29071-8",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.