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JACK T WITZENFELD P.A.
NPI 1093819377
Physician Assistant - Medical in Chesapeake, VA

Active since September 08, 2006PECOS Enrolled
736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITAL, CHESAPEAKE, VA 23320(757) 490-9388(757) 490-9401 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack T Witzenfeld P.a. NPPES

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

JACK T WITZENFELD P.A. (NPI 1093819377) is an individual medical provider in Chesapeake, Virginia, licensed in Virginia (0110840299) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093819377
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACK T WITZENFELDCredential: P.A.
Location Address736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITALChesapeake, VA 23320-4941
Mailing Address4536 Bonney RdVirginia Beach, VA 23462-3869 · (757) 490-9388 · Fax (757) 490-9401
Phone(757) 490-9388
Fax(757) 490-9401
Sole ProprietorNo
Enumeration DateSeptember 8, 2006
Last NPPES UpdateNovember 5, 2010
✔ NPI 1093819377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110840299
736 BATTLEFIELD BLVD N, Chesapeake, VA 23320
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Other Identifiers 3

Medicare ID-Type Unspecified970000572
Other970000664Medicare Railroad
Medicare UPINR68323

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack T Witzenfeld P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MIRANDA MARIE HURLEY CRNA
Nurse Anesthetist, Certified Registered
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-5246
SARAH ANN WILLIAMS PA
Physician Assistant
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 490-9388
DR. JIEMING YAN MD
Internal Medicine
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 967-8622
MISS SARAH MAE GROFT PA-C
Physician Assistant (Medical)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380
DR. SALVADOR BERNARD TRINIDAD M.D.
Radiology (Diagnostic Radiology)
736 BATTLEFIELD BLVD N, RADIOLOGY DEPARTMENT
CHESAPEAKE, VA 23320
Chesapeake City (757) 366-0101
SAMANTHA JO PALOZOLA CSA, CSFA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121
ROJAS R KEELING CSA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 803-8098
ALYSON LAMM
Surgery
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121

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 Jack Witzenfeld's NPI number?

The NPI number for Jack Witzenfeld is 1093819377. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Jack Witzenfeld located?

Jack Witzenfeld practices at 736 Battlefield Blvd N Chesapeake General Hospital, Chesapeake, VA 23320. The listed phone number is (757) 490-9388.

What is Jack Witzenfeld's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jack Witzenfeld enrolled in Medicare?

Yes. Jack Witzenfeld is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Witzenfeld was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.