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Active NPI 1124128525 Individual Practitioner Male Practitioner

William Allen Wittchow , PA-C

Physician Assistant • Fridley, MN

Professional Overview & Biography Verified Profile Summary

William Wittchow, PA-C is a registered healthcare professional specializing in Physician Assistant in Fridley, MN. Practice services are available at 6341 UNIVERSITY AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6341 University Ave Ne

Fridley, MN 554324946

Telephone 7635725710
Fax 7635865888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Fridley, MN (4026 Statewide)

Telehealth Adoption Rate
18.5% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9684

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Preferred One
1029890 (MN)
Commercial Insurance / Payer ID Medica Urgent Care
6605097 (MN)
Commercial Insurance / Payer ID Bcbs Of Mn
251J4WI (FM)
Commercial Insurance / Payer ID Healthpartners
HP33986 (MN)
Commercial Insurance / Payer ID Ucare Mn
104929 (MN)
Commercial Insurance / Payer ID America's Ppo
25878 (MN)
Commercial Insurance / Payer ID Medica
0110259 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1023126166

Doctor of Medicine (M.D.)

NPI 1033141023

Doctor of Medicine (M.D.)

Thomas Riegel , PT

Physical Therapist

NPI 1043303597

Physical Therapist

Dr. Steven Long , MD

Internal Medicine

NPI 1053343970

Doctor of Medicine (M.D.)

Dr. Merle Mark , MD

Family Medicine

NPI 1053413971

Doctor of Medicine (M.D.)

NPI 1093823122

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 6341 UNIVERSITY AVE NE, FRIDLEY, MN 554324946 (Tel: 7635725710)

📍
Updated Business Mailing Address July 09, 2007

Registered at 6401 UNIVERSITY AVE NE, FRIDLEY, MN 554324341 (Tel: 7635725710)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as WILLIAM WITTCHOW, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #9684 in MN)

🟢
Initial NPI Registration & Enumeration September 25, 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: 1124128525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

6401 University Ave Ne

Fridley, MN 554324341

Phone: 7635725710

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.