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NPI Code Detail

MEDICARE: NATHAN DAVID WHITMORE M.D.

MEDICARE: NATHAN DAVID WHITMORE 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
1208000000XPediatrics Physician45443KY
2207R00000XInternal Medicine Physician45443KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K059800OTHERKYMEDICARE- NORTON MEDICAL ASSOCIATES

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841463999
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN DAVID WHITMORE M.D.
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 300 HIGH POINT CT
Second Line :
City : MT WASHINGTON
State : KY
Zip : 40047-6560
Country : US
Telephone Number : 502-955-6129
Fax Number : 502-955-8161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2008
Last Update Date : 01/22/2021

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