DR. DAVID ROBERT WHITTAKER (NPI# 1275513715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275513715 |
Entity Type | Individual |
Full Name | DR. DAVID ROBERT WHITTAKER |
Credential | MD |
Practice Address |
Walter Reed National Military Ctr 8901 Wisconsin Ave Bethesda MD 20889-0001 |
Mailing Address |
Po Box 64323 Baltimore MD 21264-4323 |
Practice Telephone | 3012954779 |
Mailing Telephone | 4434816549 |
Mailing Fax Number | 4434816515 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2017-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0064058 | MD | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101232175 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA HMO | 1608437 | 01 | |
BCBS | 90710502 | 01 | |
BCBS | 0002 | 01 | |
AETNA PPO | 7581925 | 01 | |
MD | 413222000 | 05 | |
BCBS | 90710501 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457464083 | David Kent Whittaker | Counselor | 16757 Squyres Rd Ste 101, Spring, TX 77379-7294 | 2006-08-17 |
1639583701 | David Casey Whittaker | Pharmacist | 121 Bishop St, Corbin, KY 40701-1702 | 2014-06-17 |
1407101348 | David Mark Whittaker | Nurse Anesthetist, Certified Registered | One Medical Center Dr, Dhmc Department of Anesthesiology, Lebanon, NH 03756-0001 | 2012-07-17 |
1366635138 | David Gill Whittaker | Anesthesiology | 150 W Washington St, Shelbyville, IN 46176-1236 | 2007-08-24 |
1730277567 | David Allen Whittaker | Dentist | 173 Ashley Ave, Bsb346, Charleston, SC 29425-0001 | 2006-10-10 |
1023038403 | David Melvin Whittaker | Nurse Practitioner | 1919 State St Ste 364, New Albany, IN 47150-6801 | 2006-07-20 |
1558360412 | David Stanton Whittaker Jr. | Dermatology | 169 Birch St, Boone, NC 28607-5069 | 2005-07-21 |
Street Address |
WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVE |
City | BETHESDA |
State | MD |
Zip Code | 20889-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932101615 | Victor S Schneider | Specialist | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-12 |
1457887432 | Brent Denn Nose | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-11 |
1508392606 | Daniel Mitsuhiro Zink | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-10 |
1659807964 | Donald Francis Colantonio IIi | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2017-05-05 |
1033645353 | Stephanie Ajuzie | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 4494 North Palmer Road, Building 10, 1st Floor, Room 10, Bethesda, MD 20889-0001 | 2017-05-05 |
1649705351 | Patrick Bagley | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-5669 | 2017-05-01 |
1578098729 | Gina Hyun | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-25 |
1053846568 | Coursen Schneider | Pediatrics | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-23 |
1609300276 | Alex Stanley Peters | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
1669906236 | Yarrow Sheldon | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952561771 | Maryland Surgical Care PC | Surgery | 6410 Rockledge Dr Ste 650, Bethesda, MD 20817-7800 | 2008-06-16 |
1053594622 | Louis Kozloff, M.d. & Hugh Trout, M.d.,p.a. | Surgery | 8218 Wisconsin Ave, Suite 204, Bethesda, MD 20814-3107 | 2007-12-06 |
1518099183 | Juan Leonel Villavicencio | Surgery | 4301 Jones Bridge Rd, Bethesda, MD 20814-4712 | 2007-03-09 |
1992874739 | Louis Kozloff | Surgery | 8218 Wisconsin Ave, Suite 204, Bethesda, MD 20814-3107 | 2006-11-07 |
1154490910 | Hugh H Trout IIi | Surgery | 8218 Wisconsin Ave, Suite 204, Bethesda, MD 20814-3107 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
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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.