Healthcare Provider Details

I. General information

NPI: 1699871368
Provider Name (Legal Business Name): GAYLE ANN WHITMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GAYLE ANN SCHANTZEN MD

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5457 TWIN KNOLLS RD STE 100
COLUMBIA MD
21045-3263
US

IV. Provider business mailing address

17855 DALLAS PKWY
DALLAS TX
75287-6852
US

V. Phone/Fax

Practice location:
  • Phone: 410-689-7400
  • Fax:
Mailing address:
  • Phone: 346-376-1702
  • Fax: 224-532-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberD84226
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: