Active NPI
Whitney David, MD
- Surgery Physician
- Taos, NM
National Provider Identifier
1073536322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2006-0821
- Practice address
- 1399 Weimer Rd
600
Taos, NM 87571-6340 - Phone
- (575) 751-0334
- Fax
- (575) 751-0297
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28204 | AZ | |
| Surgery Physician | 208600000X | MD2006-0821 | NM | Primary |
Addresses
Primary practice location
1399 Weimer Rd
600
Taos, NM 87571-6340
Mailing address
4221 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Phone (505) 717-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28204 | AZ | MD | Surgery Physician |
| MD2006-0821 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Surgical Specialties LLC | Past | Accepting new patients | |
| R. Scott Kinkade MD PC | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Malcolm Wilkinson, MD | Past | Accepting new patients | |
| Acute Care Surgery Medical Group of New Mexico, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2508/brand/3/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1932536067
-
- Specialist
- Taos, NM
- NPI 1013115062
-
- Surgery Physician
- Westminster, CO
- NPI 1477239267
-
- Family Medicine Physician
- Cottonwood, AZ
- NPI 1497851067
-
- Specialist
- Cottonwood, AZ
- NPI 1427265628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1073536322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091103",
"telephone_number": "505-717-1952",
"fax_number": "505-433-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WEIMER RD",
"address_2": "600",
"city": "TAOS",
"state": "NM",
"postal_code": "875716340",
"telephone_number": "575-751-0334",
"fax_number": "575-751-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "28204",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2006-0821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.