Active NPI
Robert N Whitaker Jr MD PA
- Otolaryngic Allergy Physician
- Salisbury, NC
National Provider Identifier
1205992203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 9500766
- Legal business name
- ROBERT N WHITAKER JR MD PA
- Practice address
- 330 Jake Alexander Blvd West Suite 101
Salisbury, NC 28147 - Phone
- (704) 637-5668
- Fax
- (704) 637-5605
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert N Whitaker Jr., MD
- Title
- President
- Phone
- (704) 637-5668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 9500766 | NC | Primary |
Addresses
Primary practice location
330 Jake Alexander Blvd West Suite 101
Salisbury, NC 28147
Mailing address
PO Box 5116
330 Jake Alexander Blvd West Suite 101
Salisbury, NC 28147
Phone (704) 637-5668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986917 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
330 Jake Alexander Blvd W
Ste 101
Salisbury, NC 28147
Phone (704) 637-5668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Salisbury, NC
- NPI 1255312898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205992203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5116",
"address_2": "330 JAKE ALEXANDER BLVD WEST SUITE 101",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28147",
"telephone_number": "704-637-5668",
"fax_number": "704-637-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 JAKE ALEXANDER BLVD WEST SUITE 101",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28147",
"telephone_number": "704-637-5668",
"fax_number": "704-637-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT N WHITAKER JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-637-5668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NC",
"license": "9500766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986917",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.