Active NPI
Eric Todd Witmer, D.C.
- Chiropractor
- West Lawn, PA
National Provider Identifier
1992799712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005757L
- Practice address
- 2112 Penn Ave
West Lawn, PA 19609-1648 - Phone
- (610) 670-8550
- NPI assigned
- Sep 8, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005757L | PA | Primary |
Addresses
Primary practice location
2112 Penn Ave
West Lawn, PA 19609-1648
Mailing address
2112 Penn Ave
West Lawn, PA 19609-1648
Phone (610) 670-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01561920 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2112 Penn Ave
West Lawn, PA 19609-1648
Phone (610) 670-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005757L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witmer Chiropractic Associates | Chiropractor | Current | Accepting new patients |
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.
-
- Chiropractor
- West Lawn, PA
- NPI 1639108467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1992799712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 PENN AVE",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091648",
"telephone_number": "610-670-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 PENN AVE",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091648",
"telephone_number": "610-670-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "ERIC",
"middle_name": "TODD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005757L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01561920",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.