Martin Whitman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3119 Issued in FL

Practice address

1150 N 35TH Ave Ste 465
Hollywood, FL 33021-5467

Phone

(954) 986-9008

Fax

(954) 986-6646

NPI assigned

Sep 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Physicians Group Services PA

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Physician Assistant

  NPD (past)
• South Florida Nephrology PA

  • Health Maintenance Organization
  • Hollywood, FL
  • NPI 1508895624
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1114176567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 465",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215467",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 465",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215467",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192573473A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012269-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantelle Thandeka White, MD
• Emily J White, AUD
• Kimberly White, APRN
• Jill Suzanne Whitehouse, MD
• Erin Courtney Whiteman, DPT
• Anatalie Whitton
• Zachary Austin Wichner, D.O., MPH
• Jacob A Widdekind, MS
• Gitty Wieder, APRN
• Karley Kay Wigton, ARNP

• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.