Mary T Whitaker, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H0930 Issued in TX

Practice address

3612 Shantara LN
Plano, TX 75093-7621

Phone

(972) 378-3153

Fax

(972) 378-3154

NPI assigned

Jul 3, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 8, 2015 through Sep 8, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brenda L. Axmann, M.D P.a.

  • Medical Specialty Clinic/Center
  • Plano, TX
  • NPI 1700163060
  NPD (past)
• Mary T. Whitaker, M.D., P.a.

  • Specialist
  • Plano, TX
  • NPI 1003092487
  NPD (past)
• Unified Women's Healthcare of Texas PLLC

  • Obstetrics & Gynecology Physician
  • Addison, TX
  • NPI 1952703373
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467482067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 SHANTARA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937621",
            "telephone_number": "972-378-3153",
            "fax_number": "972-378-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANTARA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937621",
            "telephone_number": "972-378-3153",
            "fax_number": "972-378-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luciana Whipple, LPC
• Erin Whitaker Reynolds, PSYD
• Ashton Whitaker-Loving
• Ayana Whitaker
• Julie Whitaker, NP
• White Pine Operations, LLC
• White Stone Psychological Services PLLC
• Johnesha Danielle White-Daniels
• Alexander White
• Ariel D White, MFT

• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.