MEDICARE: DR. ROY WHITAKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	26482	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180045160	OTHER	NC	RR MEDICARE PROVIDER #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	256849	OTHER	NC	MAMSI
5	34363	OTHER	NC	PARTNERS PROVIDER #
6	4671676	OTHER	NC	AETNA PROVIDER #
7	561783008	OTHER	NC	TAX IDENTIFICATION #
8	12204	OTHER	NC	BCBS PROVIDER #
9	277270	OTHER	VA	ANTHEM BCBS PROVIDER #
10	B8181	OTHER	NC	MEDCOST
11	24168	OTHER	NC	OPTICARE PROVIDER #

General Provider Information

NPI Number	:	1285638866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY WHITAKER MD

Provider Business Mailing Address
First Line	:	PO BOX 38157
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27438-8157
Country	:	US
Telephone Number	:	336-282-5000
Fax Number	:	336-482-3778

Provider Business Practice Location Address
First Line	:	3312 BATTLEGROUND AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2402
Country	:	US
Telephone Number	:	336-282-5000
Fax Number	:	336-482-3778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	03/26/2010

Similar Medicare Providers

1871596809 — DR. CHARLES RICHARD EPES MD
Practice Location Address:

3312 BATTLEGROUND AVE
GREENSBORO, NC
27410-2402

Practice Phone: 336-282-5000
Practice Fax: 336-482-3778

1811994031 — CENTRAL CAROLINA SURGICAL EYE ASSOCIATES, P.A.
Practice Location Address:

3312 BATTLEGROUND AVE
GREENSBORO, NC
27410-2402

Practice Phone: 336-282-5000
Practice Fax: 336-482-3778

1295727634 — ALBERT LEE LUNDQUIST PHYSICIAN ASSISTANT
Practice Location Address:

3312 BATTLEGROUND AVE
GREENSBORO, NC
27410-2402

Practice Phone: 336-282-5000
Practice Fax: 336-545-9792

1639142656 — GREENSBORO OPHTHALMOLOGY ASC LLC
Practice Location Address:

3312 BATTLEGROUND AVENUE
GREENSBORO, NC
27410-2402

Practice Phone: 336-282-8331
Practice Fax: 336-282-2625

1255295168 — BRIANNA MCDANIEL
Practice Location Address:

619 DOLLEY MADISON RD
GREENSBORO, NC
27410-4205

Practice Phone: 704-780-4271
Practice Fax:

1821953357 — JADA BULLOCK
Practice Location Address:

619 DOLLEY MADISON RD
GREENSBORO, NC
27410-4205

Practice Phone: 704-780-4271
Practice Fax:

Directions to “ DR. ROY WHITAKER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.