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NPI Code Detail

MEDICARE: EDWIN JAMES WHITNEY M.D.

MEDICARE: EDWIN JAMES WHITNEY 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
1207RC0000XCardiovascular Disease Physician83284TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669563656
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIN JAMES WHITNEY M.D.
Provider Business Mailing Address
First Line : PO BOX 5730
Second Line :
City : BELFAST
State : ME
Zip : 04915-5700
Country : US
Telephone Number : 210-804-6000
Fax Number :
Provider Business Practice Location Address
First Line : 8715 VILLAGE DR STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5426
Country : US
Telephone Number : 210-804-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 01/13/2026

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