Roger Lee Wittum, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME102099 Issued in FL

Practice address

4240 Sun 'N Lake Boulevard
Suite 202
Sebring, FL 33872

Phone

(863) 471-3926

Fax

(863) 385-3093

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health Physicians Lima, LLC

  • Family Medicine Physician
  • Lima, OH
  • NPI 1225292865

  Interventional Cardiology

  NPD (past)
• William H. Garner, MD, Inc.

  • Surgery Physician
  • New Albany, IN
  • NPI 1912040015
  NPD (past)
• Wittum Cardiology Services, LLC

  • Specialist
  • New Albany, IN
  • NPI 1528275880
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1922024850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 SUN 'N LAKE BOULEVARD",
            "address_2": "SUITE 202",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872",
            "telephone_number": "863-471-3926",
            "fax_number": "863-385-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SUN 'N LAKE BOULEVARD",
            "address_2": "SUITE 202",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872",
            "telephone_number": "863-471-3926",
            "fax_number": "863-385-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTUM",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME102099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000446200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cho Mya Mon Win, M.D.
• Michael K. Wing, MD
• Winter Haven-Sebring FL Ophthalmology ASC LLC
• Elena Cristina Wirick-Velez
• Samuel Paul Wirick-Velez
• John Richard Wolbert Jr., LMFT
• Emily S Wolek, D.O.
• Jennifer A Wolf, PAC
• Philip Wong Wong, MD
• Latonya Wooden, LPN

• Interventional Cardiology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.