Mary T. Whitaker, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H0930 Issued in TX

Legal business name

MARY T. WHITAKER, M.D., P.A.

Practice address

3612 Shantara LN
Plano, TX 75093-7621

Phone

(972) 378-3153

Fax

(972) 378-3154

NPI assigned

Jan 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carol A Hood

Title

Practice Administrator

Phone

(972) 378-3153

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary T Whitaker, M.D.

  • Specialist
  • Plano, TX
  • NPI 1467482067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1003092487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118405",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118405",
            "telephone_number": "972-378-3153",
            "fax_number": "972-378-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANTARA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937621",
            "telephone_number": "972-378-3153",
            "fax_number": "972-378-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY T. WHITAKER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-378-3153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00B37Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amit Hari Masand, M.D.
• David L Masel, MD
• Mash Monitoring

• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.