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

Shane Michael Wittman

Individual provider Physician Assistant · NPI 1164147724

Shane Michael Wittman is a Physician Assistant in Quakertown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with St Luke's Hospital, a 100-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022

Practice location Address checks out

157 S West End Blvd
Quakertown, PA 18951-1140
Phone: (610) 849-6752
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AA0004064083 (PA)

Record details

NPI number1164147724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address1311 Byfield St, Allentown, PA 18103-4205

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Luke'S Hospital — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Quakertown