Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841387636 Individual Practitioner Male Practitioner

Dr. Keith A. Wichterman , MD

Surgery • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Keith Wichterman, MD is a registered healthcare professional specializing in Surgery in Springfield, IL. Practice services are available at 900 N 1ST STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 N 1st Street

Springfield, IL 627023749

Telephone 2175287541
Associated Practice Facility / Clinic
🏢 Springfield Clinic, Llp Facility NPI 1780638478

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Springfield, IL (1624 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-058831

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036058831 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2014

Registered at 900 N 1ST STREET, SPRINGFIELD, IL 627023749 (Tel: 2175287541)

📍
Updated Business Mailing Address August 21, 2014

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤
Provider Name / Credentials Updated August 21, 2014

Recorded as KEITH WICHTERMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Surgery (License #036-058831 in IL)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841387636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: August 21, 2014
Sole Proprietor: No

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.