Amy Elise Witt, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME100833 Issued in FL

Practice address

800 N Maitland Ave
Suite 202
Maitland, FL 32751-4427

Phone

(407) 389-2020

Fax

(407) 389-2021

NPI assigned

Sep 22, 2006

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derrow Dermatology Associates LLCGroup PAC ID 0143381863, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Derrow Dermatology Associates LLC

  • Dermatology Physician
  • Maitland, FL
  • NPI 1952555039
  Medicare reassignment Care Compare group
• Jewett Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1821097437
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1932208006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514427",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514427",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "AMY",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME100833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11858140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winter Park Complementary Medicine
• Winter Park Family Practice LLC (Family Practice of Winter Park)
• Winter Park Operating Investments LLC (Bedrock Rehabilitation and Nursing Center at Winter Park)
• Robert P Winter, MD
• Devyn Lee Wipperfurth, DC
• Katherine Wittenmyer, LMHC
• Cynthia Wolansky, LMHC, M.ED/ED.S
• Jenny Wolcott, CCC-SLP
• Matthew David Wollenschlaeger, MD
• Edison Wong, M.D.

• Dermatology Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.
• 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.

Verify at the official NPI Registry.