Active NPI
Christopher J Withers, D.O.
- Internal Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 45668-021
- Practice address
- 2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709 - Phone
- (414) 372-8080
- NPI assigned
- Jul 22, 2006
- 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 | 45668-021 | WI | Primary |
Addresses
Primary practice location
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Mailing address
210 W Capitol Dr
Milwaukee, WI 53212-1123
Phone (414) 372-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43506600 | Medicaid | WI | |
| P00134127 | Other | WI | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45668-021 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Waukesha, SC | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Archwell Health Professional Services of Arizona, LLC | Internal Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Drala Telemedicine LLC | Internal Medicine | Current | Accepting new patients |
| Outreach Community Health Centers, Inc. | Current | Accepting new patients | |
| Outreach Community Health Centers, Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260
1740 E Fort Lowell Rd
Ste 100
Tucson, AZ 85719
Phone (520) 613-0001
220 W Capitol Dr
Glendale, WI 53212
Phone (414) 964-9018
210 W Capitol Dr
Glendale, WI 53212
5496 N 72nd St
Milwaukee, WI 53218
Phone (414) 727-6315
1730 N 7th St
Milwaukee, WI 53205
Phone (414) 265-6360
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
4601 N 84th St
Milwaukee, WI 53225
Phone (414) 727-6315
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1528544608
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1710032669
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1558026880
-
- Internal Medicine Physician
- Franklin, WI
- NPI 1073257465
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1558231563
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1942221114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121123",
"telephone_number": "414-372-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-372-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERS",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "45668-021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43506600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00134127",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.