Whidbey Island Public Hospital District

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Practice address

12816 Briarcrest PL
San Diego, CA 92130-5749

Phone

(360) 678-5151

Fax

(360) 678-7676

NPI assigned

Feb 21, 2017

Organization subpart

Yes

Parent organization

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Garth Miller, MD

Title

Chief Operating Officer

Phone

(360) 678-7676

Specialties & licenses 2

Addresses

Other names 1

• WhidbeyHealth Telehealth Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Whidbey Island Public Hospital District

  • Diagnostic Radiology Physician
  • Irvine, CA
  • NPI 1356205926

  O20170501000821

  Same enrollment
• Whidbey Island Public Hospital District

  • Diagnostic Radiology Physician
  • Santa Paula, CA
  • NPI 1386351476

  O20170501000821

  Same enrollment
• Whidbey Island Public Hospital District

  • Clinical Social Worker
  • Desert Hot Springs, CA
  • NPI 1518819341

  O20170501000821

  Same enrollment
• Whidbey Island Public Hospital District

  • Family Medicine Physician
  • Oak Harbor, WA
  • NPI 1184615627

  O20170501000821

  Same enrollment
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1710927231

  O20170501000821

  Same enrollment

Part of

North Whidbey Comm Clin

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leena M Sumitra

  • Psychiatry Physician
  • Modesto, CA
  • NPI 1760601769
  NPD (past)
• Daniel Pham, MD

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1568658524
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1205375458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393413",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 BRIARCREST PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305749",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Caminito Silvela",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921224356",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2017-02-21",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "360-678-7676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Marie Wheelwright, L.AC
• Jennifer Joanna Whelan, MA
• Kristin Whelan, PSY D
• Jonathan Whetsell, LMP
• Guy Morris Whetstone IV
• Elizabeth Whipple, PHD
• Emily Hannah Whipple
• Michelle Darla Whipple, PA-C
• Kaci Whisler
• Rebecca Marie Whitacre-Partridge

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.