Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHANE DEWITT, D.O.
DeactivatedFamily Medicine · SOUTH CHARLESTON, WV
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1760485593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (0.81369863013699 yrs)
- Last Updated
- Dec 22, 2021
- Deactivated
- Mar 17, 2006
- License
-
1255 (WV)
Practice Information
- Address
-
506 CHESTNUT STREETSOUTH CHARLESTON, WV, 253091402Browse WV providers · Browse ZIP 25309
- Phone
- 3047668558
- Fax
- 3047668561
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DR. LEO BERMAN GIBSON JR. | RETIRED | 1780688614 |
| MICHELLE R BURDETTE | MD, RETIRED | 1649274044 |
| DR. LISA R NEWELL | D.O. | 1720071194 |
| D DUANE BERRY | DO | 1730174145 |
| DR. CHAD C TURNER | MD | 1245204510 |
| LEELA K PATEL | MD | 1124097084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.