Whitaker Medical

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WHITAKER MEDICAL

Practice address

525 Madison St SE
Suite 203
Huntsville, AL 35801-4268

Phone

(866) 830-9002

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Mackenzie Nichols

Title

Physician Assistant

Phone

(575) 318-6833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1174833107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MADISON ST SE",
            "address_2": "SUITE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014268",
            "telephone_number": "866-830-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MADISON ST SE",
            "address_2": "SUITE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014268",
            "telephone_number": "866-830-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITAKER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "575-318-6833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Wheeler, CRNP
• John David Wheeler, M.D.
• Kristin Wheeler
• Mary Sue Wheeler, APN
• Artrayvious Fernandez Whelchel
• Ashley White, MCD - SLP
• Brittny White
• Carolyn Grace White, LCSW
• Chelsea White, MSW
• David Lawrence White

• Physician Assistant in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.