Active NPI
James A Whitlock, M.D.
- Neurology Physician
- Salem, NH
National Provider Identifier
1447247630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 7594
- Practice address
- 70 Butler St
Salem, NH 03079-3925 - Phone
- (603) 893-2900
- Fax
- (603) 898-4361
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 51356 | MA | |
| Neurology Physician | 2084N0400X | 7594 | NH | Primary |
Addresses
Primary practice location
70 Butler St
Salem, NH 03079-3925
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003764 | Other | MA | NHP |
| J06269 | Other | MA | BCBS |
| 0102770Y0NH01 | Other | NH | ANTHEM |
| 4373143 | Other | MA | AETNA |
| 715273 | Other | MA | THP |
| 05-00412 | Other | MA | EVERCARE |
| 11781 | Other | MA | HPHC |
| 1313662-001 | Other | MA | CIGNA |
| 23599 | Other | MA | FCHP |
| 05-00076 | Other | MA | UHC |
| 3023192 | Medicaid | MA | |
| 30002080 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51356 | MA | MD | Neurology Physician |
| 7594 | NH | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1447247630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030793925",
"telephone_number": "603-893-2900",
"fax_number": "603-898-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "51356",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "7594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0003764",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J06269",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0102770Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4373143",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "715273",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "05-00412",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "11781",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1313662-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "23599",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "05-00076",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3023192",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002080",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.