JOHN T. WITTE M.D. – NPI #1063407641
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

JOHN WITTE is a physician located in MERIDIAN, ID. NPPES has assigned the NPI number 1063407641 to JOHN WITTE on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 8 years ago on Sep 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN WITTE below.

NPI Profile for
JOHN T. WITTE

NPI Number
1063407641
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN T. WITTE
Credentials
M.D.
Primary location
2235 E GALA ST
MERIDIAN, ID 83642-8026
Phone: (208) 887-3724 Fax: (208) 887-3724
3 Other location(s):
425 W Bannock St
Boise, ID 83702-6035
Phone: (208) 343-6458
Fax: (208) 343-5031
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone: (208) 343-6458
Fax: (208) 343-5031
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone: (208) 343-6458
Fax: (208) 343-5031
Mailing address
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone: (208) 343-1702 Fax: (208) 342-7042
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN WITTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF IDAHOID55293
OTHERBLUE SHIELD OF IDAHOID000010005904
OTHERRAILROAD MEDICAREID100001868
MEDICAIDID002733600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
ID M-5529

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.