Individual provider Active NPI

David John Whitmore, DO

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1275511404
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1674 Issued in WV
Practice address
1301 Hal Greer Blvd
Huntington, WV 25701
Phone
(304) 525-0572
NPI assigned
Jan 6, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02693 KY
Family Medicine Physician 207Q00000X 02693 KY
Family Medicine Physician 207Q00000X 1674 WV Primary

Addresses

Primary practice location

1301 Hal Greer Blvd
Huntington, WV 25701

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396

Other practice location 1

42 McGinnis Dr
Wayne, WV 25570-9553
Phone (304) 272-5136

Other identifiers 6

IdentifierTypeStateIssuer
2159006MedicaidOH
930102983OtherRAILROAD
64025802MedicaidKY
5630298000MedicaidWV
000000204091OtherKYBCBS
00218366OtherWVRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000235 WV Practitioner - Family Practice 2163316852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1301 Hal Greer Blvd
Huntington, WV 25701-3803
Phone (304) 525-0572

1319 Hal Greer Blvd
Huntington, WV 25701-3803
Phone (304) 529-6060

2585 3Rd Ave
Huntington, WV 25703-1642

42 McGinnis Dr
Wayne, WV 25570-9553
Phone (304) 272-5136

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1647WVMDProfessional Counselor
1674WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family Medicine CurrentSince Mar 2, 2001 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 2, 2001 Accepting new patients
Valley Health Systems, Inc Family Medicine CurrentSince Mar 4, 2006 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Our Lady of the Way Hospital, Inc Family Medicine Past Accepting new patients
National Emergency Services West Virginia Inc Emergency Medicine Past Accepting new patients
Valley Health Systems Inc Family Medicine Past Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: dwhitmore20024@valleyhealthsystems.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1275511404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-525-0572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 McGinnis Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709553",
            "country_code": "US",
            "telephone_number": "304-272-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930102983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64025802",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630298000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000204091",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "00218366",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.