Randall Brooks Whitney, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

8859 Issued in FL

Practice address

580 Mulberry St
Daytona Beach, FL 32114-2127

Phone

(386) 238-0633

Fax

(386) 254-8227

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1245425727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MULBERRY ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142127",
            "telephone_number": "386-238-0633",
            "fax_number": "386-254-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MULBERRY ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142127",
            "telephone_number": "386-238-0633",
            "fax_number": "386-254-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "RANDALL",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "8859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William White, M.D.
• Robert Steven White, M.D.
• Anna Whitehead, BS
• Jeff Whitehead, M.S.
• Timothy James Whitfield
• Leah Wiedemamn, O.D.
• Aimee Wiener, ARNP
• Darla Lyon Wilchusky
• Amy Christine Wilder, LMHC
• Virginia Smith Wiley, CCC-SLP

• Gynecology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.