Charles Candee Whitney III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD048097L Issued in PA

Practice address

1121 General Washington Memorial Boulevard
Washington Crossing, PA 18977

Phone

(215) 321-1371

Fax

(215) 321-1378

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.whitney@5214298046468.direct.elationemr.com

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.

• Revolutionary Health Services, LLC

  • Family Medicine Physician
  • Washington Crossing, PA
  • NPI 1609210350
  Authorized official Same address or phone
• Clinical Care Associates of the University of Pennsylvania Health

  • Psychologist
  • West Chester, PA
  • NPI 1649940107
  NPD (past)
• Penncare Bucks County - Family Medicine

  • Non-Pharmacy Dispensing Site
  • Yardley, PA
  • NPI 1164563573
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114024437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 GENERAL WASHINGTON MEMORIAL BOULEVARD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "18977",
            "telephone_number": "215-321-1371",
            "fax_number": "215-321-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 GENERAL WASHINGTON MEMORIAL BOULEVARD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "18977",
            "telephone_number": "215-321-1371",
            "fax_number": "215-321-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "CHARLES",
        "middle_name": "CANDEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD048097L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David N Sharlin, DO
• Elizabeth Soskin, CPM
• The Center for Psychology
• The Yardley Center for Psychology, Inc.
• Joan Theresa Walsh-Philip, D.P.M.
• Caitlin Wismer, RD
• Geoffrey Martin Wyckoff, PH.D.
• Irwin Zarembok, M.D.
• Edward Carmen Zullo, CA. DC

• Family Medicine Physician in Washington Crossing, PA
• Providers in Washington Crossing, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.