Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredrick C Wittleder, PA

Individual provider Surgical Physician Assistant · NPI 1205195088

Fredrick C Wittleder, PA is a Physician Assistant in Oak Park Heights, Minnesota. Qualified in 2012, 14 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota, Utah and Wisconsin.

Years since qualifying
14
Licensed in
MN, UT, WI
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 N Triumph Blvd Ste 110, Lehi, UT 84043-7186 — (385) 345-3555

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (MN)
Surgical Physician Assistant Taxonomy 363AS0400X (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10749979-1206 (UT)

Record details

NPI number1205195088
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Oak Park Heights