Witham Memorial Hospital
NPI 1083750293ActiveOrganization· Family Medicine· Lebanon, IN
Family Medicine in Lebanon, Indiana, registered in NPPES in January 2007. The authorized official on file is Kelly Braverman, Ceo, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083750293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Jul 2, 2024 |
| Certified by provider | Jul 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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