NPIMap

Individual provider Active NPI

Philip S Whitecar, MD

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1174504617
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35055442 Issued in OH
Practice address
725 University Blvd
Ollie Davis Medical Building
Dayton, OH 45435-0001
Phone
(937) 245-7200
Fax
(937) 245-7922
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35055442 OH Primary

Addresses

Primary practice location

725 University Blvd
Ollie Davis Medical Building
Dayton, OH 45435-0001

Mailing address

725 University Blvd
Dayton, OH 45435-0001
Phone (937) 245-7100

Other identifiers 1

IdentifierTypeStateIssuer
0666873MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000494 OH Practitioner - Family Practice 9638199623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beavercreek Family Health Center LLCGroup PAC ID 4284862905, 2 clinicians
TCN Behavioral Health Services, Inc.Group PAC ID 8224011135, 20 clinicians

Practice addresses (Care Compare)

2365 Lakeview Dr
Suite C
Beavercreek, OH 45431-3639
Phone (937) 705-6287

3085 Woodman Dr
Suite 300
Dayton, OH 45420-1159
Phone (937) 376-8700

452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055442OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beavercreek Family Health Center LLC Family Medicine CurrentSince Nov 19, 2013 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Jan 2, 2015 Accepting new patients
TCN Behavioral Health Services, Inc. CurrentSince Nov 18, 2017 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Jan 2, 2015 Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Wright State Physicians Inc Past Accepting new patients
TCN Behavioral Health Services, Inc PastSince Nov 24, 2024 Accepting new patients

Locations

2365 Lakeview Dr
Ste C
Beavercreek, OH 45431
Phone (937) 342-9260

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755

1521 N Detroit St
West Liberty, OH 43357
Phone (937) 465-8065

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/
  • Direct secure messaging: philip.whitecar@36126676942852.direct.elationemr.com
  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1174504617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "address_2": "OLLIE DAVIS MEDICAL BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7200",
            "fax_number": "937-245-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITECAR",
        "first_name": "PHILIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35055442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666873",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.