Active NPI
Ann E Whitaker, PA
- Surgical Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 103102
- Practice address
- 3480 Wake Forest Rd
Suite 500
Raleigh, NC 27609-7376 - Phone
- (919) 862-5650
- NPI assigned
- Feb 15, 2006
- Last updated
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 103102 | NC | Primary |
Addresses
Primary practice location
3480 Wake Forest Rd
Suite 500
Raleigh, NC 27609-7376
Mailing address
4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979535 | Medicaid | NC | |
| 970017587 | Other | NC | RAILROAD MEDICARE |
| A5441 | Other | NC | MEDCOST |
| 79535 | Other | NC | BLUE CROSS BLUE SHEILD NC |
| 0656817 | Other | NC | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10950 Chapel Hill Rd
Morrisville, NC 27560-8852
Phone (919) 684-8111
3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855
3480 Wake Forest Rd
Raleigh, NC 27609-7376
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3480 Wake Forest Rd
Ste 310
Raleigh, NC 27609
Phone (919) 862-5620
3480 Wake Forest Rd
Ste 500
Raleigh, NC 27609
Phone (919) 684-6437
Interoperability endpoints
- awhitaker48562@direct.medicine.duke.edu
Organizations & group practices 1
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1306828108
Hospital
-
dba Duke University Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1508847047
Hospital
-
dba Duke University Hospital
- Land Ambulance
- Durham, NC
- NPI 1417954942
Hospital
-
dba Duke University Hospital
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
dba Duke University Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1386618379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 WAKE FOREST RD",
"address_2": "SUITE 500",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097376",
"telephone_number": "919-862-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ANN",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "103102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979535",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970017587",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A5441",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD NC",
"identifier": "79535",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0656817",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.