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NPI Code Detail

MEDICARE: DR. MARTIN D WHITAKER M.D.

MEDICARE: DR. MARTIN D WHITAKER M.D.
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
1207W00000XOphthalmology Physician015596ME

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00184354OTHERMERAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13739577OTHERMEAETNA
2061139OTHERMEANTHEM BLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4M2307901OTHERMECIGNA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003805995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN D WHITAKER M.D.
Provider Business Mailing Address
First Line : 193 MAIN ST
Second Line :
City : NORWAY
State : ME
Zip : 04268-5645
Country : US
Telephone Number : 207-743-0027
Fax Number : 207-743-0051
Provider Business Practice Location Address
First Line : 193 MAIN ST
Second Line :
City : NORWAY
State : ME
Zip : 04268-5645
Country : US
Telephone Number : 207-743-0027
Fax Number : 207-743-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 08/28/2012

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