Mark Whyte MD a Professional Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A85889 Issued in CA

Legal business name

MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

608 G St
Suite 2-B
Brawley, CA 92227-2568

Phone

(760) 344-3446

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Whyte, MDNPI 1144255258

Title

President

Phone

(760) 344-3446

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mark Whyte, MD

  • Surgery Physician
  • Brawley, CA
  • NPI 1144255258
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1114137270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 G ST",
            "address_2": "SUITE 2-B",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272568",
            "telephone_number": "760-344-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 G ST",
            "address_2": "SUITE 2-B",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272568",
            "telephone_number": "760-344-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-344-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A85889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A858890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravji Lunagaria
• Lwbba Grissell Chait Llamas MD Inc
• M Theresa C Ramones MD Inc
• Yaritza Annette Maceira Coursey, RD
• Carolyn Morris Malone, FNP
• Alejandro Marron, CADC II
• Sasha Marie Martell, RN
• Alma A Martinez-Torrez, MFT
• Adriane D Martinez
• Gustavo Martinez, NP-C

• General Practice Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.