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SANDRA WIITA NPI 1154308054


NPI Information

NPI: 1154308054
Provider Name: SANDRA WIITA
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4538 HIGHLAND RD
MINNETONKA, MN
ZIP 55345
Phone: (952) 412-4847
Get Directions

Sandra Wiita is a family medicine in Minnetonka, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Sandra Wiita NPI is 1154308054. 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:

4538 HIGHLAND RD
MINNETONKA, MN
ZIP 55345-621
Phone: (952) 412-4847

The NPI 1154308054 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 12/30/2005 and was last updated on 5/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine51980-20WISCONSINNo
2207Q00000XFamily Medicine01072488AINDIANANo
3207Q00000XFamily MedicineP9989TEXASNo
4207Q00000XFamily Medicine29912OKLAHOMANo
5207Q00000XFamily Medicine35.122172OHIONo
6207Q00000XFamily Medicine268105-1NEW YORKNo
7207Q00000XFamily MedicineMD2013-0891NEW MEXICONo
8207Q00000XFamily Medicine27356NEBRASKANo
9207Q00000XFamily Medicine4301102453MICHIGANNo
10207Q00000XFamily MedicineMD.206767LOUISIANANo
11207Q00000XFamily Medicine036.131953ILLINOISNo
12207Q00000XFamily Medicine051623CONNECTICUTNo
13207Q00000XFamily Medicine2013011071MISSOURINo
14207Q00000XFamily Medicine42376MINNESOTAYes

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: 11/14/2023

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.