DR. KEVIN DANIEL WHITELAW (NPI# 1902839699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902839699 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DANIEL WHITELAW |
| Credential | MD |
| Practice Address |
747 Fifty Second Street Oakland CA 94609-1809 |
| Mailing Address |
240 Kent Ave Kentfield CA 94904-2525 |
| Practice Telephone | 5104833259 |
| Mailing Telephone | 4153091453 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
G059070 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
747 FIFTY SECOND STREET |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326004037 | Maurine Heard | Anesthesiology | 747 Fifty Second Street, Anesthesiology, Oakland, CA 94609 | 2006-04-21 |
| 1518100692 | Paul Aaron Johnson | Dentist | 747 Fifty Second Street, Oakland, CA 94609 | 2009-04-20 |
| 1740461532 | Neeta Chandwani | Dentist | 747 Fifty Second Street, Oakland, CA 94609-1809 | 2007-11-20 |
| 1114020302 | Edward Rothman | Dentist | 747 Fifty Second Street, Oakland, CA 94609 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865689 | Michael Dmitri Bell | Emergency Medicine | 717 52nd St, Emergency Dept Childrens Hospital Oakland, Oakland, CA 94609 | 2006-11-08 |
| 1801967450 | Peter Christensen Baker | Emergency Medicine | 747 52nd St, Oakland, CA 94609-1809 | 2006-11-13 |
| 1285676304 | William H Hawk | Emergency Medicine | 747 52nd St, Oakland, CA 94609-1809 | 2006-06-12 |
| 1174527881 | Jenna A. Timm | Emergency Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396328 | Brian Forster | Emergency Medicine | 11234 Anderson St Ste A890, Loma Linda, CA 92354-2804 | 2017-02-24 |
| 1588921241 | Guillermo Alberto De Angulo | Emergency Medicine | 1189 Welch Rd, Palo Alto, CA 94304-1905 | 2012-04-19 |
| 1093903262 | Mydili R. Maniam-mohan | Emergency Medicine | 6255 N Fresno St, Ste 106, Fresno, CA 93710-5271 | 2007-10-12 |
| 1255538450 | Julia Nicole Magana | Emergency Medicine | 4150 V St Ste 2100, Sacramento, CA 95817 | 2007-06-29 |
| 1902008733 | Nobuaki Inoue | Emergency Medicine | Llumc House Staff Office Cp 21005, 11234 Anderson Street, Loma Linda, CA 92354 | 2007-06-04 |
| 1265527741 | Sharon Louise Morozumi | Emergency Medicine | 260 International Circle, San Jose, CA 95119 | 2006-10-03 |
| 1891706933 | Jin H Heur | Emergency Medicine | 1500 E Chevy Chase Dr, Suite 250, Glendale, CA 91206-4152 | 2006-08-11 |
| 1013982826 | Lara Zibners | Emergency Medicine | 3620 Kiekebusch Ct, Carmichael, CA 95608-2840 | 2006-02-23 |
| 1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
| 1902250855 | Katherine Gitz | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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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.