David S Whittaker Jr. (NPI# 1558360412, PAC ID# 6800931247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1558360412 |
| PAC ID by PECOS | 6800931247 |
| Professional Enrollment ID | I20100309000871 |
| Full Name | David S Whittaker Jr. |
| Organization Legal Name | BOONE DERMATOLOGY CLINIC |
| Address |
169 Birch St Boone NC 28607-5069 |
| Phone Number | 8282644553 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8224062666 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 169 Birch St, Boone, NC 28607-5069 | 8282644553 | BOONE DERMATOLOGY CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 79% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 96% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 3% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | BOONE DERMATOLOGY CLINIC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco Luis Ancaya | Physician Assistant | Boone Dermatology Clinic | 169 Doctors Dr, Boone, NC 28607-5017 |
| Aaron A Westphal | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Ronald Jay Stanley | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Carol C Marks | Physician Assistant | Boone Dermatology Clinic | 169 Doctors Dr, Boone, NC 28607-5017 |
| William Gary Engstrom | Physician Assistant | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Brett T Summey Jr. | Dermatology | Boone Dermatology Clinic | 169 Doctors Dr, Boone, NC 28607-5017 |
| Michael Leonard Garner | Dermatology | Boone Dermatology Clinic | 169 Doctors Dr, Boone, NC 28607-5017 |
| Brittain H Tulbert | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Erin G Howard | Physician Assistant | Boone Dermatology Clinic | 169 Doctors Dr, Boone, NC 28607-5017 |
| Street Address |
169 BIRCH ST |
| City | BOONE |
| State | NC |
| Zip | 28607-5069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron A Westphal | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Ronald Jay Stanley | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| William Gary Engstrom | Physician Assistant | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Brittain H Tulbert | Dermatology | Boone Dermatology Clinic | 169 Birch St, Boone, NC 28607-5069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Russell | Qualified Audiologist | 400 Univerisyt Hall Dr, Boone, NC 28607 | |
| Karen T Stoetzer | Clinical Social Worker | 719 Greenway Rd, Suite 108, Boone, NC 28607-3100 | |
| Ryan J Woods | Chiropractic | 920 W King St B, Boone, NC 28607-3467 | |
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Nicholas J Placentra Jr. | Family Medicine | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Lori W Hiatt | Occupational Therapy | 240 Hwy 105 Ext, Suite 200, Boone, NC 28607-4291 | |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| William Henson | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Find all physicians in zip 28607 | |||
| City | BOONE |
| Zip Code | 28607 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOONE + DERMATOLOGY |
Please comment or provide details below to improve the information on David S Whittaker Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.