Individual provider Active NPI

Whitney R. Holsopple, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenville, OH
National Provider Identifier
1275525099
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003402 Issued in OH
Practice address
828 Central Ave
Greenville, OH 45331-1206
Phone
(937) 459-5432
Fax
(937) 459-5433
NPI assigned
Aug 18, 2005
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003402 OH Primary

Addresses

Primary practice location

828 Central Ave
Greenville, OH 45331-1206

Mailing address

300 S Dorset Rd
Troy, OH 45373-2635
Phone (937) 875-2526

Other identifiers 1

IdentifierTypeStateIssuer
2543279MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001101 OH Practitioner - Podiatry 6507804168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Foot and Ankle Care LLCGroup PAC ID 1557447216, 3 clinicians

Practice addresses (Care Compare)

300 S Dorset Rd
Troy, OH 45373-2635
Phone (937) 875-2526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.68 of 100Reported as individual
Quality
97.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue211
Removal of skin lesions228
Removal of nail tissue702
Removal or shaving of skin growth53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003402OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Foot and Ankle Care LLC Foot & Ankle Surgery CurrentSince Feb 8, 2008 Accepting new patients
Active Foot and Ankle Care LLC CurrentSince Feb 8, 2008 Accepting new patients
Active Foot and Ankle Care LLC Past Accepting new patients

Locations

828 Central Ave
Greenville, OH 45331
Phone (937) 459-5432

300 S Dorset Rd
Troy, OH 45373
Phone (937) 875-2526

Interoperability endpoints

  • Direct secure messaging: wholsoppledpm@ofas.medentdirect.com

Organizations & group practices 4

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 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1275525099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S DORSET RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732635",
            "telephone_number": "937-875-2526",
            "fax_number": "937-459-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 CENTRAL AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311206",
            "telephone_number": "937-459-5432",
            "fax_number": "937-459-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSOPPLE",
        "first_name": "WHITNEY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2543279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.