Active NPI
Tanya S Dewitt, MD
- Obstetrics & Gynecology Physician
- Frederick, MD
National Provider Identifier
1881753689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D33419
- Practice address
- 75 Thomas Johnson Drive
Suite J
Frederick, MD 21702-4895 - Phone
- (301) 620-0010
- Fax
- (301) 682-3977
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 233739 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | 10361 | NH | |
| Obstetrics & Gynecology Physician | 207V00000X | 8398 | VT | |
| Obstetrics & Gynecology Physician | 207V00000X | D33419 | MD | Primary |
Addresses
Primary practice location
75 Thomas Johnson Drive
Suite J
Frederick, MD 21702-4895
Mailing address
75 Thomas Johnson Drive
Suite J
Frederick, MD 21702-4895
Phone (301) 620-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144557 | Medicaid | MA | |
| 30011547 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233739 | MA | MD | Obstetrics & Gynecology Physician |
| D33419 | MD | MD | Obstetrics & Gynecology Physician |
| 10361 | NH | MD | Obstetrics & Gynecology Physician |
| 8398 | VT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- tanya.dewitt.1@19847.direct.athenahealth.com
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1881753689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 THOMAS JOHNSON DRIVE",
"address_2": "SUITE J",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024895",
"telephone_number": "301-620-0010",
"fax_number": "301-682-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 THOMAS JOHNSON DRIVE",
"address_2": "SUITE J",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024895",
"telephone_number": "301-620-0010",
"fax_number": "301-682-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "TANYA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "233739",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "10361",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VT",
"license": "8398",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D33419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2144557",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011547",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.