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DR. GARY WITUCKI D.O. NPI 1184699472


NPI Information

NPI: 1184699472
Provider Name: DR. GARY WITUCKI, D.O.
Classification: Preventive Medicine - 2083P0011X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

PECOS Registration: Yes

Address:
1234 NAPIER AVE
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 983-8601
Get Directions

DR. Gary Witucki, D.O. is an undersea and hyperbaric medicine preventive medicine in Saint Joseph, MI with 32 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Gary Witucki, D.O. NPI is 1184699472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1992

The provider's business location address is:

1234 NAPIER AVE
SAINT JOSEPH, MI
ZIP 49085-112
Phone: (269) 983-8601

The NPI 1184699472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 11/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine03087KENTUCKYNo
2207Q00000XFamily Medicine57339WISCONSINNo
32083P0011XPreventive MedicineUndersea and Hyperbaric Medicine57339WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100075950MEDICAIDKENTUCKY
2000000601505OTHERKENTUCKYANTHEM
33300156MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.