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WITHAM HEALTH SERVICES
NPI 1083750293
Family Medicine in Lebanon, IN

Active since January 29, 2007CLIA Certified · 4 labs
2605 N LEBANON ST, LEBANON, IN 46052(765) 485-8000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Oct 18, 2023, Mar 27, 2018 and 2 more (5 updates tracked since 2017).

About Witham Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WITHAM HEALTH SERVICES (NPI 1083750293) is a healthcare organization registered as a family medicine in Lebanon, Indiana and active in the NPI registry since January 2007. The organization holds 4 active CLIA laboratory certificates and lists Kelly Braverman, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1083750293
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWITHAM MEMORIAL HOSPITAL
Location Address2605 N LEBANON STLebanon, IN 46052-1476
Mailing Address2605 N Lebanon StLebanon, IN 46052-1476
Phone(765) 485-8000
Organization SubpartNo
Authorized OfficialKelly BravermanCeo, President · (765) 485-8100
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 2, 20245 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1083750293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
2605 N LEBANON ST, Lebanon, IN 46052
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Other Names 1

Doing Business AsWitham Health Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D0352413

Witham Memorial Hospital D/B/A Witham Health Services · Lebanon, IN
Active · expires Jan 2, 2027
CLIA Number15D0352413
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorElizabeth Bertsch
Laboratory Phone(765) 485-8290
Laboratory LocationWitham Memorial Hospital D/B/A Witham Health Services2605 N Lebanon St, Lebanon, IN 46052
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0701095

Witham Memorial Hospital D/B/A Witham Health Services · Lebanon, IN
Active · expires Jan 15, 2027
CLIA Number15D0701095
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Brian Buoscio
Laboratory Phone(765) 485-8676
Laboratory LocationWitham Memorial Hospital D/B/A Witham Health Services2705 N Lebanon St Stes 300 315, Lebanon, IN 46052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 15D2048784

Witham Health Services · Lebanon, IN
Active · expires Oct 22, 2026
CLIA Number15D2048784
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorCrystal L. Jones
Laboratory Phone(765) 485-8852
Laboratory LocationWitham Health Services2705 N Lebanon St Ste 265, Lebanon, IN 46052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2085229

Witham Memorial Hospital · Lebanon, IN
Active · expires Oct 8, 2026
CLIA Number15D2085229
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorDaniel E. Kraft
Laboratory Phone(765) 335-0123
Laboratory LocationWitham Memorial Hospital400 N Mount Zion Rd, Lebanon, IN 46052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEDRA LYNN KING RN
Registered Nurse
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 485-8565
ADAM THOMAS
Emergency Medicine
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 485-8000
JACK REYES LOWE NP-C
Nurse Practitioner
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 485-8124
RYLIE PAIGE VELEZ DPT
Physical Therapist
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 485-8000
LAURA MARIE LAMBERT M.D.
Anesthesiology
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (317) 614-9817
MR. MITCHELL LEE CARTER FNP
Hospitalist
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 485-8000
ANESTHESIOLOGY OF INDIANAPOLIS, PC
Anesthesiology
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (866) 282-7905
JONATHAN FRIED MD
Emergency Medicine
2605 N LEBANON ST
LEBANON, IN 46052
Boone County (765) 448-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Witham Memorial Hospital's NPI number?

The NPI number for Witham Memorial Hospital is 1083750293. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Witham Health Services.

Where is Witham Memorial Hospital located?

Witham Memorial Hospital is located at 2605 N Lebanon St, Lebanon, IN 46052. The listed phone number is (765) 485-8000.

What is Witham Memorial Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Witham Memorial Hospital hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Witham Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Witham Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Witham Memorial Hospital was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.