MEDICARE: ADAM DOUGLAS WHITNEY

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1245885458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM DOUGLAS WHITNEY

Provider Business Mailing Address
First Line	:	1056 E HARRISON AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2445
Country	:	US
Telephone Number	:	435-640-7817
Fax Number	:

Provider Business Practice Location Address
First Line	:	1056 E HARRISON AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2445
Country	:	US
Telephone Number	:	435-640-7817
Fax Number	:

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

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	02/11/2022

Similar Medicare Providers

1194718387 — MS. DEBORAH ANNE BODY DNP, FNP-C
Practice Location Address:

2445 STATE ROUTE 30
TUPPER LAKE, NY
12986-2502

Practice Phone: 518-554-8087
Practice Fax: 518-359-4133

1760443030 — DR. ANTHONY JOSEPH LUCATORTO D.O.
Practice Location Address:

28 BOWLING GREEN PARKWAY , SUITE LL3
LAKE HOPATCONG, NJ
07849-2445

Practice Phone: 973-214-8679
Practice Fax: 973-663-9511

1033147392 — MRS. CHRISTENE ELIZABETH SUAREZ MSW
Practice Location Address:

2445 LAKE VISTA CT
CASSELBERRY, FL
32707-6472

Practice Phone: 321-397-6098
Practice Fax:

1568478089 — JOEL M. MOSKOWITZ D.M.D.
Practice Location Address:

28 BOWLING GREEN PKWY
LAKE HOPATCONG, NJ
07849-2445

Practice Phone: 973-663-4220
Practice Fax: 973-663-6136

1811909062 — DR. ARTHUR V MOREY MD
Practice Location Address:

2445 STATE ROUTE 30
TUPPER LAKE, NY
12986-2502

Practice Phone: 518-359-4217
Practice Fax: 518-358-4133

1508904103 — CAROL DIMOND MD
Practice Location Address:

2445 STATE ROUTE 30 , SUNMOUNT DDSO
TUPPER LAKE, NY
12986-2502

Practice Phone: 518-359-7701
Practice Fax: 518-359-4133

Directions to “ ADAM DOUGLAS WHITNEY ” 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 © 2007-2026 (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.