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MICHELLE ELIZABETH DE WITT M.D. NPI 1124472170


NPI Information

NPI: 1124472170
Provider Name: MICHELLE ELIZABETH DE WITT, M.D.
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-6637
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Michelle Elizabeth De Witt, M.D. is a neurological surgery in Winston Salem, NC with 10 years of experience. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. Michelle Elizabeth De Witt, M.D. NPI is 1124472170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 KIMEL PARK DR STE 155
WINSTON SALEM, NC
ZIP 27103-946
Phone: (336) 765-6637
Fax: (336) 765-6964

The NPI 1124472170 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 enumeration date for this NPI number is 4/15/2016 and was last updated on 7/10/2023.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207T00000XNeurological Surgery2023-01520NORTH CAROLINAYes

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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