Individual provider Active NPI

Christopher Henry Whittwell, PA

  • Physician Assistant
  • Margate, FL
National Provider Identifier
1073370193
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9118572 Issued in FL
Practice address
1100 S State Road 7 Ste 201
Margate, FL 33068-4033
Phone
(754) 229-6886
NPI assigned
Mar 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9118572 FL Primary

Addresses

Primary practice location

1100 S State Road 7 Ste 201
Margate, FL 33068-4033

Mailing address

5444 SW 149TH PL
Miami, FL 33185-4018
Phone (305) 283-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501004135 FL Practitioner - Physician Assistant 8426498874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Hand PLLCGroup PAC ID 3476686338, 13 clinicians
Miami Breast Center LLCGroup PAC ID 3678756467, 7 clinicians

Practice addresses (Care Compare)

2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Phone (305) 642-4263

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 666-2111

580 Crandon Blvd
Key Biscayne, FL 33149-1832
Phone (305) 365-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
9118572FLMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBADD/Endpoint/FBBADD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073370193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854018",
            "telephone_number": "305-283-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S STATE ROAD 7 STE 201",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330684033",
            "telephone_number": "754-229-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "HENRY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9118572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.