Charles Frederic Whitaker III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

WV09456 Issued in WV

Practice address

600 18TH St
Suite 304
Parkersburg, WV 26101-3231

Phone

(304) 424-4961

Fax

(304) 424-4861

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Preventive Medicine

Education

University of Pittsburgh School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Ohio Valley Board of HealthGroup PAC ID 8921267709, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mid-Ohio Valley Board of Health

  • Public Health or Welfare Agency
  • Parkersburg, WV
  • NPI 1528093283
  Medicare reassignment Care Compare group NPD
• Charles F. Whitaker MD Inc.

  • Dentist
  • Parkersburg, WV
  • NPI 1144314956

  Pediatrics

  NPD (past) Authorized official
• Mid-Ohio Valley Board of Health

  • Public Health or Welfare Agency
  • Parkersburg, WV
  • NPI 1578991733
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1457358145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 304",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4961",
            "fax_number": "304-424-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 304",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4961",
            "fax_number": "304-424-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CHARLES",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "WV09456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111982000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Marie Wheeler, PRSS
• Judy Ann Wheeler, FNP-C
• Rachel A Wherry, REGISTERED NURSE
• Ann Elizabeth Whitaker
• Barbara D Whitaker, CRNA
• Brittany White
• Courtney Alina White
• Daniel J.E. White
• Jeff White
• Kristina M White

• Pediatrics Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.