Individual provider Active NPI

Laura McWilliam Whiting, PA-C

  • Physician Assistant
  • Hood River, OR
National Provider Identifier
1457530677
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01287 Issued in OR
Practice address
1304 Montello Ave
Hood River, OR 97031-1544
Phone
(541) 387-6125
Fax
(541) 387-6321
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01287 OR Primary

Addresses

Primary practice location

1304 Montello Ave
Hood River, OR 97031-1544

Mailing address

PO Box 3390
Portland, OR 97208-3390

Other identifiers 3

IdentifierTypeStateIssuer
500610694MedicaidOR
P01221609OtherWARR MEDICARE (PH&S) - PMG/WA
500632165MedicaidOR

Other names 1

  • Laura Sue McWilliam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwhiting263982@oc.providencedirect.org

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 E 19TH St
The Dalles, OR 97058-3317

Hospital & facility affiliations

  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center Physician Assistant Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.whiting@79034615332868.direct.elationemr.com

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.

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1457530677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MONTELLO AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311544",
            "telephone_number": "541-387-6125",
            "fax_number": "541-387-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "LAURA",
        "middle_name": "MCWILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500610694",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (PH&S) - PMG/WA",
            "identifier": "P01221609",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500632165",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwhiting263982@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1304 Montello Ave",
            "city": "Hood River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970311544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MCWILLIAM",
            "middle_name": "SUE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.