Active NPI
Terence Whiteman, MD
- Interventional Cardiology Physician
- Sturgis, MI
National Provider Identifier
1174548192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301074992
- Practice address
- 916 Myrtle St
Sturgis, MI 49091-2326 - Phone
- (269) 651-4266
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301074992 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301074992 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301074992 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 4301074992 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301074992 | MI | |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | 4301074992 | MI | |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 4301074992 | MI |
Addresses
Primary practice location
916 Myrtle St
Sturgis, MI 49091-2326
Mailing address
PO Box 155
Dewitt, MI 48820-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074992 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Care P C | Past | Accepting new patients | |
| Depot Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Michigan Em-I Medical Services, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Sturgis, MI
- NPI 1427096361
-
- Physician Assistant
- Sturgis, MI
- NPI 1427096684
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1487696589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1174548192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "DEWITT",
"state": "MI",
"postal_code": "488200155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 MYRTLE ST",
"city": "STURGIS",
"state": "MI",
"postal_code": "490912326",
"telephone_number": "269-651-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEMAN",
"first_name": "TERENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301074992",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301074992",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301074992",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301074992",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4301074992",
"primary": false
},
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MI",
"license": "4301074992",
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MI",
"license": "4301074992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.