DR. JONATHAN EDWARDS DITTY M.D.
NPI 1518316140
Family Medicine in South Bend, IN

Q: What is Jonathan Ditty's NPI number?

The NPI number for Jonathan Ditty is 1518316140. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Q: What is Jonathan Ditty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Ditty was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 04, 2016

4440 PORTAGE AVE, SOUTH BEND, IN 46628(574) 204-6200(574) 239-1520 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Jonathan Edwards Ditty M.d. NPPES

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

DR. JONATHAN EDWARDS DITTY M.D. (NPI 1518316140) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01082081A) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1518316140

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JONATHAN EDWARDS DITTYCredential: M.D.

Location Address4440 PORTAGE AVESouth Bend, IN 46628-9570

Mailing Address4440 Portage AveSouth Bend, IN 46628-9570 · (574) 204-6200 · Fax (574) 239-1520

Phone(574) 204-6200

Fax(574) 239-1520

Sole ProprietorYes

Enumeration DateJune 4, 2016

Last NPPES UpdateJune 28, 2019

✔ NPI 1518316140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01082081A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4440 PORTAGE AVE, South Bend, IN 46628

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Other Providers at the Same Location NPPES 3

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

THOMAS LARSEN MD

Family Medicine

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

MR. ROBERT CASSADY M.D.

Family Medicine

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

THE SOUTH BEND CLINIC LLC

Durable Medical Equipment & Medical Supplies

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

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 Jonathan Ditty's NPI number?

The NPI number for Jonathan Ditty is 1518316140. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Jonathan Ditty located?

Jonathan Ditty practices at 4440 Portage Ave, South Bend, IN 46628. The listed phone number is (574) 204-6200.

What is Jonathan Ditty's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Ditty was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.