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DAVID M. WITHAM MD INC
NPI 1194918367
Clinic/Center - Medical Specialty in Fairbanks, AK

Active since August 22, 2007
1411 19TH AVE, FAIRBANKS, AK 99701(907) 457-4900(907) 457-4913 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David M. Witham Md Inc NPPES

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

DAVID M. WITHAM MD INC (NPI 1194918367) is a healthcare organization registered as a medical specialty in Fairbanks, Alaska and active in the NPI registry since August 2007. The organization lists David M Witham, President, as its authorized official.

NPPES Registry Identity

NPI1194918367
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDAVID M. WITHAM MD INC
Location Address1411 19TH AVEFairbanks, AK 99701-5902
Mailing Address1411 19th AveFairbanks, AK 99701-5902 · (907) 457-4900 · Fax (907) 457-4913
Phone(907) 457-4900
Fax(907) 457-4913
Organization SubpartNo
Authorized OfficialDavid M WithamPresident · (907) 452-5527
Enumeration DateAugust 22, 2007
✔ NPI 1194918367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AK · 4607
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1411 19TH AVE, Fairbanks, AK 99701
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Other Identifiers 2

Medicare UPINE53756
Other1457328197Personal Npi

Other Providers at the Same Location NPPES 2

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

JOHN W. JOOSSE, MD A PC
Orthopaedic Surgery
1411 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-5803
DR. JOHN W. JOOSSE M.D.
Specialist
1411 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-5803

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 David M. Witham MD Inc's NPI number?

The NPI number for David M. Witham MD Inc is 1194918367. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is David M. Witham MD Inc located?

David M. Witham MD Inc is located at 1411 19th Ave, Fairbanks, AK 99701. The listed phone number is (907) 457-4900.

What is David M. Witham MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for David M. Witham MD Inc was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.