Mark Rollie Whitlock

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN.228657 Issued in OH

Practice address

8787 Brookpark Rd
Parma, OH 44129-6809

Phone

(216) 739-7000

NPI assigned

Jan 11, 2023

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1255045571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "MARK",
        "middle_name": "ROLLIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN.228657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smclinician.myhealth.va.gov/web/sm-clinician/home",
            "affiliation": "N",
            "address_1": "8787 Brookpark Rd # 87",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441296809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smclinician.myhealth.va.gov/web/sm-clinician/home",
            "affiliation": "N",
            "address_1": "8787 Brookpark Rd # 87",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441296809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smclinician.myhealth.va.gov/web/sm-clinician/home",
            "affiliation": "N",
            "address_1": "8787 Brookpark Rd # 87",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441296809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia L Whidden, R.D., L.D.
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• Athena White, RN
• Jeanne S. White, CNP
• Tehron White
• Erick Whitney
• Donna Whittaker
• Leonard W. Widmer, D.D.S.
• Kathleen Wiess
• Wig Fashions Inc

• Case Management Registered Nurse in Parma, OH
• Providers in Parma, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.