Healthcare Provider Details

I. General information

NPI: 1740848936
Provider Name (Legal Business Name): REBECCA WHITMIRE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1590
US

IV. Provider business mailing address

22 S GREENE ST RM N5E16
BALTIMORE MD
21201-1590
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-2808
  • Fax: 410-328-0571
Mailing address:
  • Phone: 410-328-2808
  • Fax: 410-328-0571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0093944
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT217335
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: