Flanagan Whitsitt, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

PA16888 Issued in CA

Practice address

6641 San Angelo Ave
Joshua Tree, CA 92252-2225

Phone

(760) 366-9773

NPI assigned

Nov 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Golden Ear Medical Group, Inc

  • Specialist
  • Gardena, CA
  • NPI 1760408256
  NPD (past)
• Gwen M. Allen MD Inc

  • Gynecology Physician
  • Gardena, CA
  • NPI 1326051806
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1134294382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 SAN ANGELO AVE",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922522225",
            "telephone_number": "760-366-9773",
            "fax_number": "951-695-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 SAN ANGELO AVE",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922522225",
            "telephone_number": "760-366-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSITT",
        "first_name": "FLANAGAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PA16888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "WPA16888A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United States Navy
• Valley Star Behavioral Health, Inc. (Valley Star CRT - Morongo Oasis)
• Surender Vuthoori, MD
• Nicole Amy Wetherholt, PA-C
• White Feather Physicians PC
• Bobbi J Wignall, LVN
• William Stephen Bush, M.D., a Medical Corporation
• Diane Rae Wilson
• Yin M. Chien D.D.S. Inc.

• Specialist in Joshua Tree, CA
• Providers in Joshua Tree, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.