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DR. WIT INTERNAL MEDICINE PROF GERIATRIC CARE NPI 1033194386


NPI Information

NPI: 1033194386
Provider Name: DR. WIT INTERNAL MEDICINE PROF GERIATRIC CARE
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5621 DELMAR BLVD
#105
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 367-2727
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DR. WIT INTERNAL MEDICINE PROF GERIATRIC CARE is a geriatric medicine internal medicine in Saint Louis, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. WIT INTERNAL MEDICINE PROF GERIATRIC CARE NPI is 1033194386. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5621 DELMAR BLVD
#105
SAINT LOUIS, MO
ZIP 63112-656
Phone: (314) 367-2727
Fax: (314) 367-2989

The provider's authorized official is Wit A Jamry .
The authorized official title is President and has the following contact phone number (314) 367-2727.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 8/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyNo
2207RG0300XInternal MedicineGeriatric MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG9649MEDICARE PIN
2505084103MEDICAIDMISSOURI
3CG9649OTHERRAILROAD MEDICARE
4000013240MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 4/28/2024

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