DR. MARK CAMDEN WHITAKER (NPI# 1811979271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811979271 |
| Entity Type | Individual |
| Full Name | DR. MARK CAMDEN WHITAKER |
| Credential | M.D. |
| Practice Address |
10100 E Shannon Woods St Suite 100 Wichita KS 67226-4104 |
| Practice Telephone | 3162198299 |
| Practice Fax Number | 3162195899 |
| Mailing Telephone | 3162198299 |
| Mailing Fax Number | 3162195899 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0428407 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER PTAN | 110848012 | 01 | |
| KS | 200265940R | 05 | |
| KS | 200265940A | 05 | |
| MEDICARE PTAN | 110848 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043453277 | Mark Alan Whitaker | Pediatrics | 16316 173rd Ave Ne, Woodinville, WA 98072-9140 | 2009-04-17 |
| 1629632716 | Mark Whitaker | Counselor | 8501 Lasalle Road, Suite 115, Towson, MD 21286 | 2019-04-24 |
| 1578572384 | Mark D Whitaker | Family Medicine | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2006-08-08 |
| 1285685966 | Mark E. Whitaker | Otolaryngology | 500 University Dr, Hershey, PA 17033-2360 | 2006-05-15 |
| 1366414112 | Mark Dwight Whitaker | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-02-06 |
| Street Address |
10100 E SHANNON WOODS ST SUITE 100 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118592 | Kelsey Jacobs | Physical Therapy Assistant | 10100 E Shannon Woods St, Wichita, KS 67226-4104 | 2019-08-06 |
| 1720573058 | Kristina Marie Underhill | Physical Therapist | 10100 E Shannon Woods St, Wichita, KS 67226-4104 | 2018-06-28 |
| 1164892675 | Elizabeth Hayes | Physician Assistant | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2015-09-28 |
| 1992119457 | Daniel Quillin | Physical Therapist | 10100 E Shannon Woods St, Wichita, KS 67226-4104 | 2014-06-12 |
| 1295161792 | Bree A Greer | Nurse Practitioner | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2013-09-17 |
| 1467891036 | Rachel Leanne Schmidt | Physical Therapist | 10100 E Shannon Woods St, Wichita, KS 67226-4103 | 2013-06-17 |
| 1720206105 | Damion Y Walker | Orthopaedic Surgery | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2007-04-23 |
| 1790815835 | Robert C Manske | Physical Therapist | 10100 E Shannon Woods St, Wichita, KS 67226-4103 | 2007-03-07 |
| 1922016492 | Kansas Joint & Spine Specialists, LLC | Durable Medical Equipment & Medical Supplies | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2006-08-03 |
| 1801837646 | James Joseph Jr. | Orthopaedic Surgery | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285616649 | Alan Moskowitz | Orthopaedic Surgery | 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 | 2005-11-18 |
| 1639335490 | Steven Thomas Ericksen | Orthopaedic Surgery | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2008-07-31 |
| 1114954740 | Charles D Pence | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-27 |
| 1043290679 | Kris Lewonowski | Orthopaedic Surgery | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932495769 | Joshua Thomas Bunch | Orthopaedic Surgery | 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160-1902 | 2011-06-20 |
| 1982912622 | Max Franco De Carvalho | Orthopaedic Surgery | 2500 Canterbury Dr, Hays, KS 67601-2247 | 2010-09-15 |
| 1841432937 | Theodore Damian Koreckij | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2009-04-03 |
| 1205884889 | John M Ciccarelli | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-05 |
| 1942268289 | Premier Spine Care, P.a. | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
| 1114985355 | Adrian P Jackson | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
| 1487626982 | Christopher C Kain | Orthopaedic Surgery | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-02-07 |
Please comment or provide details below to improve the information on DR. MARK CAMDEN WHITAKER.
| 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.