Julia Whiteside-de Vos, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E-0146 Issued in AR

Practice address

2984 Brighton Rd
Shaker Heights, OH 44120-1721

Phone

(216) 752-8044

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Julia Whiteside-Michel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1083883888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 BRIGHTON RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201721",
            "telephone_number": "216-752-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 BRIGHTON RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201721",
            "telephone_number": "216-752-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE-DE VOS",
        "first_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-0146",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G61894",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.080229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "WHITESIDE-MICHEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kanisha Joi West-Thomas
• Kristel Wheeler
• Markella Whetzel, MHA
• Dameyon Mildred White, LSW
• Francis P. White, PH.D.
• Amanda Camille Whitsett
• Marie Whitson, M.A., LCDCIII, ICADC
• Adam John Wilcox, PHARMD.
• Dawn Melanie Wilkins, RN
• Williams Auto Transport and Delivery

• Ophthalmology Physician in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.