Jim Hayes Whiteside, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

18627 Issued in KY

Practice address

1004 Glenview Dr
Glasgow, KY 42141-3424

Phone

(270) 651-9611

Fax

(270) 651-9298

NPI assigned

Feb 13, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1346214939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 GLENVIEW DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413424",
            "telephone_number": "270-651-9611",
            "fax_number": "270-651-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GLENVIEW DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413424",
            "telephone_number": "270-651-9611",
            "fax_number": "270-651-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "JIM",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "18627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64186273",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000048056",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "408013739",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolena Whitaker
• White Oak Virtual Care, PLLC
• Jason Matthew White, M.D.
• Leisa Kaye White, LPCA
• Nicole Lee White, D.I.
• William Cook Whiteside, D.D.S
• Whitney Thompson Optometry PSC
• Mitchell L Wiatrak, MD
• William F Marrs
• William T. Thistlethwaite M.D. PLLC

• Cardiovascular Disease Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.