JERRY WITTINGEN M.D
NPI 1477557031
Obstetrics & Gynecology in Grand Rapids, MI

Active since June 10, 2005
555 MIDTOWNE ST NE, SUITE 302, GRAND RAPIDS, MI 49503(616) 391-3315(616) 391-3320 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Wittingen M.d NPPES

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

JERRY WITTINGEN M.D (NPI 1477557031) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301036869) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1477557031
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJERRY WITTINGENCredential: M.D
Location Address555 MIDTOWNE ST NE, SUITE 302Grand Rapids, MI 49503
Mailing Address555 Midtowne St Ne, Suite 302Grand Rapids, MI 49503 · (616) 391-3315 · Fax (616) 391-3320
Fax(616) 391-3320
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 30, 2009
NPI 1477557031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301036869
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

555 MIDTOWNE ST NE, Grand Rapids, MI 49503

Other Identifiers 3

Medicare ID-Type UnspecifiedOM74460001MI
Medicaid4736467MI
Medicare UPINB43775MI

Other Providers at the Same Location NPPES 19

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

Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Cardiology)
555 MIDTOWNE ST NE, SUITE 310
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503

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 Jerry Wittingen's NPI number?

The NPI number for Jerry Wittingen is 1477557031. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Jerry Wittingen located?

Jerry Wittingen practices at 555 Midtowne St NE Suite 302, Grand Rapids, MI 49503. The listed phone number is (616) 391-3315.

What is Jerry Wittingen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jerry Wittingen was last updated on September 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.