Vicki Ann Whitacre, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35033750W Issued in OH

Practice address

716 Adair Ave
Zanesville, OH 43701-2836

Phone

(740) 454-5239

Fax

(740) 455-7692

NPI assigned

Oct 13, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Muskingum Emergency Physicia

  • Emergency Medicine Physician
  • Zanesville, OH
  • NPI 1790791929
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1528056447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-454-5239",
            "fax_number": "740-455-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-454-5239",
            "fax_number": "740-455-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "VICKI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35033750W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332278",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn West
• Kaleigh Westfall, CT
• Amanda Wheeler, PHARMD
• Jessica Wheeler
• Linda Kay Whikehart, LISW, LICDC
• Deseree Passion Whitaker
• Nicole Susan Whitaker, O.D.
• Ralph Michael Whitaker, D.D.S.
• Jasmine Hessam White, PA
• Lori Ann White, LPN

• General Practice Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.