Active NPI
John D Dewitt, DO
- Neurology Physician
- Tulsa, OK
National Provider Identifier
1982694048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 1512
- Practice address
- 717 S Houston Ave
Suite 406
Tulsa, OK 74127-9023 - Phone
- (918) 586-4775
- Fax
- (918) 586-4779
- NPI assigned
- Oct 28, 2005
- Last updated
- Nov 5, 2008
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 1512 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave
Suite 406
Tulsa, OK 74127-9023
Mailing address
717 S Houston Ave
Suite 406
Tulsa, OK 74127-9023
Phone (918) 586-4775
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1512 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ctca Physicans Group of Oklahoma, Inc | Past | Accepting new patients | |
| Oklahoma State University | Past | Accepting new patients | |
| Tulsa CT LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Tulsa, OK
- NPI 1053309591
-
dba OSU Physicians Clinical Laboratory
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1982694048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE",
"address_2": "SUITE 406",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-586-4775",
"fax_number": "918-586-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE",
"address_2": "SUITE 406",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-586-4775",
"fax_number": "918-586-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "1512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.