Individual provider Active NPI

Raymond Wayne Whitted, M.D., M.P.H.

  • Gynecology Physician
  • Miami, FL
National Provider Identifier
1407940414
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME 0077737 Issued in FL
Practice address
8740 N Kendall Dr
Suite 101
Miami, FL 33176-2212
Phone
(305) 596-3744
Fax
(305) 596-3676
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME 0077737 FL Primary

Addresses

Primary practice location

8740 N Kendall Dr
Suite 101
Miami, FL 33176-2212

Mailing address

699 NE 50TH Ter
Miami, FL 33137-3022
Phone (305) 754-2450

Other identifiers 1

IdentifierTypeStateIssuer
300430900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040131000015 FL Practitioner - Obstetrics/Gynecology 8820991326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8585 Sunset Dr
Suite 108
Miami, FL 33143-3746
Phone (305) 596-3744

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0077737FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Wayne Whitted MD MPH LLC Gynecology CurrentSince Feb 23, 2013 Accepting new patients
Association of Minimally Invasive Gynecologic Surgeons Gynecology PastSince Jan 1, 2007 Accepting new patients
University of Miami Past Accepting new patients

Locations

8585 Sunset Dr
Ste 108
Miami, FL 33143
Phone (305) 596-3744

8740 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 274-5574

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407940414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 NE 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373022",
            "telephone_number": "305-754-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-596-3744",
            "fax_number": "305-596-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "RAYMOND",
        "middle_name": "WAYNE",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME 0077737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300430900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.