MEDICARE: DR. JAMES WHITNEY 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
1	2085R0202X	Diagnostic Radiology Physician	23953	ND
2	2085R0202X	Diagnostic Radiology Physician	69668	GA
3	2085R0202X	Diagnostic Radiology Physician	ME178748	FL
4	2085R0202X	Diagnostic Radiology Physician	4301100035	MI

General Provider Information

NPI Number	:	1740488527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WHITNEY WHITAKER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-9419
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 23RD AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-9137
Country	:	US
Telephone Number	:	469-677-7430
Fax Number	:	972-591-0085

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	04/03/2026

Similar Medicare Providers

1306641345 — SANFORD CLINIC
Practice Location Address:

4820 23RD AVE S
FARGO, ND
58104-9137

Practice Phone: 56-312-4160
Practice Fax:

1629918040 — HANNAH SCHUR MS, RDN, LD
Practice Location Address:

5225 23RD AVE S
FARGO, ND
58104-7927

Practice Phone: 701-417-2540
Practice Fax:

1326988619 — CORNERSTONE RESIDENTIAL SERVICES
Practice Location Address:

6578 27TH ST S
FARGO, ND
58104-7968

Practice Phone: 701-793-3264
Practice Fax: 701-793-3264

1811838931 — SALMATA KORGHO
Practice Location Address:

2400 65TH AVE S APT 309
FARGO, ND
58104-7458

Practice Phone: 701-205-7689
Practice Fax:

1730823204 — MRS. ALYSSA M SOGGE CCC-SLP
Practice Location Address:

5225 23RD AVE S
FARGO, ND
58104-7927

Practice Phone: 701-417-2575
Practice Fax:

1609632272 — NEXT STEP UP CORP
Practice Location Address:

3523 45TH ST S
FARGO, ND
58104-8962

Practice Phone: 719-517-6905
Practice Fax: 585-502-1157

Directions to “ DR. JAMES WHITNEY WHITAKER M.D.” 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.