Active NPI
Lee Carl Whitaker, MD
- Adult Medicine Physician
- St Thomas, VI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 1625
- Practice address
- 1901 9TH Street
St Thomas, VI 00802-0000 - Phone
- (340) 777-1996
- NPI assigned
- Jun 14, 2006
- Last updated
- May 9, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD000035229 | TN | |
| Adult Medicine Physician | 207QA0505X | 1625 | VI | Primary |
Addresses
Primary practice location
1901 9TH Street
St Thomas, VI 00802-0000
Mailing address
PO Box 7425
St Thomas, VI 00801-0425
Phone (340) 777-1996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508809625 | Other | TN | NPI |
| 009911897 | Medicaid | AL |
Other names 1
- Dr. Lee C Whitaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD000035229 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health Govt of the Virgin Islands | Current | Accepting new patients | |
| Department of Health Govt of the Virgin Islands | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family Medicine | Past | Accepting new patients |
| The Whitaker Health Center | Family Medicine | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
3500 Estate Richmond
St Croix, VI 00820
Phone (340) 718-1311
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Christiansted, VI
- NPI 1225449713
-
- Public Health or Welfare Agency
- Christiansted, VI
- NPI 1396072716
-
- Family Medicine Physician
- St Thomas, VI
- NPI 1447543145
-
dba Urgent Team
- Family Medicine Physician
- Chattanooga, TN
- NPI 1437194222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1508809625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7425",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008010425",
"telephone_number": "340-777-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 9TH STREET",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008020000",
"telephone_number": "340-777-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "LEE",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD000035229",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "VI",
"license": "1625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1508809625",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911897",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "WHITAKER",
"middle_name": "C",
"prefix": "DR.",
"credential": "MD, MPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.