NEW HORIZONS PLASTIC SURGERY (GREGORY P. WITTPENN, MD PA) NPI 1366627499

Surgery (Plastic and Reconstructive Surgery) in Nacogdoches, TX

NPI 1366627499 Organization Surgery Plastic and Reconstructive Surgery

About NEW HORIZONS PLASTIC SURGERY (GREGORY P. WITTPENN, MD PA)

New Horizons Plastic Surgery (gregory P. Wittpenn, Md Pa) is a provider established in Nacogdoches, Texas specializing in surgery (plastic and reconstructive surgery) . The NPI number of New Horizons Plastic Surgery (gregory P. Wittpenn, Md Pa) is 1366627499 and was assigned on January 2008. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 2 years ago. New Horizons Plastic Surgery (gregory P. Wittpenn, Md Pa) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as New Horizons Plastic Surgery. The authorized official of this NPI record is Dr. Gregory Paul Wittpenn (Physician)

NPI

1366627499

Provider NameNEW HORIZONS PLASTIC SURGERY (GREGORY P. WITTPENN, MD PA)
Provider Location Address3616 N UNIVERSITY DR NACOGDOCHES, TX 75965
Provider Mailing Address3616 N UNIVERSITY DR NACOGDOCHES, TX 75965
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNEW HORIZONS PLASTIC SURGERY
Other Name TypeDoing Business As (3)
Enumeration Date01-08-2008
Last Update Date01-30-2020


Primary Taxonomy

Taxonomy Code2086S0122X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationPlastic and Reconstructive Surgery
Taxonomy DescriptionA surgeon who specializes in plastic and reconstructive surgery.

Business Address

NEW HORIZONS PLASTIC SURGERY
3616 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-3744

Get Directions


Mailing Address

NEW HORIZONS PLASTIC SURGERY
3616 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-3744



Authorized Official

Authorized Official NameDR. GREGORY PAUL WITTPENN
Authorized Official TitlePHYSICIAN
Authorized Official Phone(936) 564-3744

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandNo

Taxonomy Description: a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
007OLYOTHER (01)TX
173182001MEDICAID (05)TX

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326007303DR. GREGORY PAUL WITTPENN M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)3616 N UNIVERSITY DR
NACOGDOCHES, TX 75965
(936) 564-3744

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.