CLAIBORNE GOOCH WHITWORTH IV


Address: 100 Spotswood Dr, Lexington, VA 24450-2454
Phone: 5404637108

CLAIBORNE GOOCH WHITWORTH IV (NPI# 1073592796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073592796
Entity Type Individual
Full Name CLAIBORNE GOOCH WHITWORTH IV
Credential MD
Practice Address 100 Spotswood Dr
Lexington
VA 24450-2454
Mailing Address 213 S Jefferson St Ste 625
Roanoke
VA 24011-1713
Practice Telephone 5404637108
Practice Fax Number 5404622923
Mailing Telephone 5402245516
Mailing Fax Number 5402445684
Enumeration Date 2006-01-11
Last Update Date 2020-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 0101049835 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TAX ID 54-0892025 01
VA 010080576 05
ANTHEM/BLUE CROSS 137919 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
155 Riverbend Dr, Charlottesville, VA 229118607 4342950184 4342952463

Office Location

Street Address 100 SPOTSWOOD DR
City LEXINGTON
State VA
Zip Code 24450-2454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023252079 Ayesha Jone' Kelly Surgery 100 Spotswood Dr, Lexington, VA 24450-2454 2009-04-21

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1710242219 Matthew Earle Bryant Family Medicine 146 S Main St Ste 3, Lexington, VA 24450 2012-07-10
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124559190 Nadia Gabriela Romero Urology 800 Rose St Rm Mn-283, Lexington, KY 40536 2017-03-22
1922397033 Alison Marie Rasper Urology Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 2011-03-30
1699084731 Lexington Unique Care Inc Urology 2628 Wilhite Dr, Lexington, KY 40503 2010-10-06
1659691053 Ali Mahmoud Ziada Urology Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 2010-06-08
1679744817 Katie Ballert Urology 800 Rose St # Ms 269, Lexington, KY 40536-0298 2008-03-16
1932328259 Alexandre W. Caillat Urology 106 W Medical Park Dr Ste A, Lexington, NC 27292-6854 2007-04-25
1730284597 Carolyn V Smith Urology 2285 Executive Drive, Suite 100, Lexington, KY 40505 2006-09-14
1619930468 Deborah R Erickson Urology 800 Rose Street, Room M S 283, Urology Division, University of Kentucky Hospital, Lexington, KY 40536-0001 2006-04-11
1396728358 John P Tuttle Jr. Urology 160 N Eagle Creek, Ste 301, Lexington, KY 40509 2005-11-23
1518968619 Paul Ewald Rober Urology 211 Fountain Ct Ste 230, Lexington, KY 40509-2696 2005-08-10
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City LEXINGTON
Zip Code 24450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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