John A Whitney (NPI# 1205240637, PAC ID# 7719102466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205240637 |
| PAC ID by PECOS | 7719102466 |
| Professional Enrollment ID | I20170629002691 |
| Full Name | John A Whitney |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
2235 Cleveland Rd South Bend IN 46628-3529 |
| Phone Number | 5746474530 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 2235 Cleveland Rd, South Bend, IN 46628-3529 | 5746474530 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Anna Kathryn Kragt | Family Medicine | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Street Address |
2235 CLEVELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip | 46628-3529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis W Casper | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Adeela Alizai | Ophthalmology | 2235 Cleveland Rd, South Bend, IN 46628-3529 | |
| Arif Goreja | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Leah D Craft | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Syed Mohsan Rizvi | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Charles F Hagenow | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Christopher Charles Hall | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Sandra A Cho | Podiatry | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Deanna L Huss | Nurse Practitioner | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Laura L Jordan | Registered Dietitian Or Nutrition Professional | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-6287 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen Jarrett | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Susan M Brock | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Flora Mashibe | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Kevin W Kaurich | Chiropractic | 21421 Cleveland Rd, South Bend, IN 46628-3507 | |
| Shamiram B Badal | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Frank V Murphy | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Jamie H Stone | Internal Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Stephanie K Kertes | Nurse Practitioner | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Stephen D Kennedy | Family Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Russell M Miller | Geriatric Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Find all physicians in zip 46628 | |||
| City | SOUTH BEND |
| Zip Code | 46628 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH BEND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John A Whitney.
| 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.