Individual provider Active NPI

Stephanie K Whitmer, MD

  • Family Medicine Physician
  • Morris, IL
National Provider Identifier
1386905446
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.147749 Issued in IL
Practice address
1345 Edwards St Ste 2
Morris, IL 60450-1692
Phone
(815) 942-1421
Fax
(815) 488-2033
NPI assigned
Jun 6, 2012
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47379 KY
Family Medicine Physician 207Q00000X 036.147749 IL Primary

Addresses

Primary practice location

1345 Edwards St Ste 2
Morris, IL 60450-1692

Mailing address

725 School St
Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other practice location 1

150 W High St
Morris, IL 60450-1497
Phone (815) 942-2932

Other practice location 2

522 Depot St
Mazon, IL 60444-3706
Phone (815) 448-2423

Other identifiers 3

IdentifierTypeStateIssuer
7100253110MedicaidKY
036147749OtherILIL LICENSE
K102765OtherKYKY MEDICARE

Other names 1

  • Stephanie K Schulz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130820000222 KY Practitioner - Family PracticePractitioner - Addiction Medicine 6507008638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Muhlenberg LLCGroup PAC ID 2567770324, 8 clinicians

Practice addresses (Care Compare)

2025 W Everly Brothers Blvd
Powderly, KY 42367-5401
Phone (270) 377-2626

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.147749ILMDFamily Medicine Physician
47379KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Oh Muhlenberg, LLC CurrentSince Oct 1, 2020 Accepting new patients
Oh Muhlenberg, LLC CurrentSince Oct 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine Past Accepting new patients

Locations

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600

2025 W Everly Brothers Blvd
Ste 2A
Powderly, KY 42367
Phone (270) 377-2590

Interoperability endpoints

  • Direct secure messaging: swhitmer84509@direct.owensborohealth.org

Organizations & group practices 6

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 5

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1386905446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST",
            "address_2": "STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 EDWARDS ST STE 2",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501692",
            "telephone_number": "815-942-1421",
            "fax_number": "815-488-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W High St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501497",
            "country_code": "US",
            "telephone_number": "815-942-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 Depot St",
            "address_purpose": "LOCATION",
            "city": "Mazon",
            "state": "IL",
            "postal_code": "604443706",
            "country_code": "US",
            "telephone_number": "815-448-2423",
            "fax_number": "815-448-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMER",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "47379",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.147749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100253110",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036147749",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICARE",
            "identifier": "K102765",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCHULZ",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.