Individual provider Active NPI

Anthony Reginald Whitaker, M.D.,J.D.

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1235231994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OH-085550 Issued in OH
Practice address
4832 Brantford CT
West Chester, OH 45069-5502
Phone
(513) 942-3644
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OH-085550 OH Primary

Addresses

Primary practice location

4832 Brantford CT
West Chester, OH 45069-5502

Mailing address

4832 Brantford CT
West Chester, OH 45069-5502
Phone (513) 942-3644

Other identifiers 1

IdentifierTypeStateIssuer
2546123MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH-085550OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forensic and Mental Health Services, Inc. Past Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients
Psychiatric Professional Services Psychiatry Past Accepting new patients
Forensic and Mental Health Services, Inc. Past Accepting new patients
University Family Physicians, Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235231994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 BRANTFORD CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695502",
            "telephone_number": "513-942-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 BRANTFORD CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695502",
            "telephone_number": "513-942-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ANTHONY",
        "middle_name": "REGINALD",
        "name_prefix": "Dr.",
        "credential": "M.D.,J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "OH-085550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2546123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.