Active NPI
William E Whitehead, M.D.
- Neurological Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- M7755
- Practice address
- 6621 Fannin St
Clinical Care Center 1230.01
Houston, TX 77030-2303 - Phone
- (832) 822-1282
- Fax
- (713) 796-9636
- NPI assigned
- May 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | M7755 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Clinical Care Center 1230.01
Houston, TX 77030-2303
Mailing address
6621 Fannin St
Clinical Care Center 1230.01
Houston, TX 77030-2303
Phone (832) 822-1282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185630401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Utah School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6621 Fannin St
Houston, TX 77030-2358
Phone (832) 824-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8426 | TX | MD | Anesthesiology Physician |
| M7755 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Texas Children'S Hospital | Past | Accepting new patients | |
| University Neurosurgical Associates, Inc. | Past | Accepting new patients |
Locations
6621 Fannin St
#123001
Houston, TX 77030
Phone (832) 822-1282
2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6620 Main St
Houston, TX 77030
Phone (713) 520-8432
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
Interoperability endpoints
- wwhitehead6212@prddirect.texaschildrens.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
-
- Specialist
- Indianapolis, IN
- NPI 1043285273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1568465193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"address_2": "CLINICAL CARE CENTER 1230.01",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-822-1282",
"fax_number": "713-796-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"address_2": "CLINICAL CARE CENTER 1230.01",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-822-1282",
"fax_number": "713-796-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "M7755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185630401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.