Individual provider Active NPI

Marc William Whitsett, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Milford, OH
National Provider Identifier
1386812451
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35046345-W Issued in OH
Practice address
50 W Techne Center Dr
Suite B-5
Milford, OH 45150-8403
Phone
(513) 753-9964
Fax
(513) 753-9968
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046345 OH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35046345-W OH Primary

Addresses

Primary practice location

50 W Techne Center Dr
Suite B-5
Milford, OH 45150-8403

Mailing address

4560 State Route 222
Batavia, OH 45103-9778
Phone (513) 753-9964

Other identifiers 1

IdentifierTypeStateIssuer
0782158MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046345OHMDInternal Medicine Physician
35046345-WOHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Outpatient Services LLC PastSince Aug 1, 2024 Accepting new patients
Ridge HVP LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1386812451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 STATE ROUTE 222",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451039778",
            "telephone_number": "513-753-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W TECHNE CENTER DR",
            "address_2": "SUITE B-5",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508403",
            "telephone_number": "513-753-9964",
            "fax_number": "513-753-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSETT",
        "first_name": "MARC",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "046345",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35046345-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0782158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.