DR. GORDON A. WITWER M.D. NPI 1053351932

NPI Information

  • NPI: 1053351932
  • Provider Name: DR. GORDON A. WITWER, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12554 RIATA VISTA CIRCLE
    AUSTIN, TX
    ZIP 78727
  • Phone: (512) 795-5100

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NPI Details

DR. Gordon A. Witwer, M.D. is a diagnostic radiology radiology in Austin, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gordon A. Witwer, M.D. NPI is 1053351932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12554 RIATA VISTA CIRCLE
AUSTIN, TX
ZIP 78727-431
Phone: (512) 795-5100
Fax: (512) 795-5122

The NPI 1053351932 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyJ5064TEXASNo
22085R0202XRadiologyDiagnostic RadiologyJ5064TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00757873MEDICARE PINTEXAS
289R285MEDICARE ID-TYPE UNSPECIFIED
38F1695MEDICARE PINTEXAS
4134740305MEDICAIDTEXAS
5134740314MEDICAIDTEXAS
6465491YQTEMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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