GREGORY P. WITTPENN MD PA NPI 1366627499

NPI Information

NPI: 1366627499
Provider Name: GREGORY P. WITTPENN, MD PA
Classification: Surgery - 2086S0122X
Specialization: Plastic and Reconstructive Surgery
Entity Type: Organization
Doing Business As: NEW HORIZONS PLASTIC SURGERY
Address: 3616 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-3744

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NPI Details

GREGORY P. WITTPENN, MD PA is a plastic and reconstructive surgery surgery in Nacogdoches, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. GREGORY P. WITTPENN, MD PA NPI is 1366627499. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Horizons Plastic Surgery.

The provider's business location address is:

3616 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75965-539
Phone: (936) 564-3744

The provider's authorized official is Gregory Paul Wittpenn .
The authorized official title is Physician and has the following contact phone number (936) 564-3744.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/30/2020.

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
1	2082S0105X	Plastic Surgery	Surgery of the Hand			No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

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
1	007OLY	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	173182001	MEDICAID	TEXAS

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: 11/21/2025

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