Active NPI
Darwin Patrick Whitaker, PAC
- Physician Assistant
- Berea, KY
National Provider Identifier
1144216235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA361
- Practice address
- 234 Brenwood St
Berea, KY 40403-1637 - Phone
- (859) 985-0302
- NPI assigned
- Sep 23, 2005
- Last updated
- Oct 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA361 | KY | Primary |
Addresses
Primary practice location
234 Brenwood St
Berea, KY 40403-1637
Mailing address
207 Clear Fork BR
Hazard, KY 41701-6481
Phone (606) 216-8257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Nicholasville Rd
Lexington, KY 40503-1461
Phone (859) 466-8956
234 Brenwood Dr
Berea, KY 40403-1637
234 Brenwood St
Berea, KY 40403-1637
Phone (859) 985-0302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- darwinwhitaker@bucl-ky.direct.office.nextgen.com
Organizations & group practices 4
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.
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- NPI 1225374887
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1083101240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446249600000",
"number": "1144216235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 CLEAR FORK BR",
"city": "HAZARD",
"state": "KY",
"postal_code": "417016481",
"telephone_number": "606-216-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 BRENWOOD ST",
"city": "BEREA",
"state": "KY",
"postal_code": "404031637",
"telephone_number": "859-985-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "DARWIN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2015-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.