Donald W Whitaker MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME66730 Issued in FL

Legal business name

DONALD W WHITAKER MD PA

Practice address

924 Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Phone

(850) 863-1000

NPI assigned

Mar 9, 2010

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald W Whitaker, M.D.NPI 1518901479

Title

President

Phone

(850) 855-6707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald William Whitaker, M.D

  • Obstetrics & Gynecology Physician
  • Fort Walton Beach, FL
  • NPI 1518901479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1568785277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2617",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325492617",
            "telephone_number": "850-863-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-863-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD W WHITAKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-855-6707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME66730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Dodier, DC
• Nicholas Joseph Dokianos, PA
• Dolphin Radiology PLLC (Open MRI of Fort Walton)
• Emmanuel Carlo Mantes Dominguez, MD
• Donald E Hamilton M D P a
• Nicholas Donnelly
• Robert Nicholas Donofrio, ARNP
• Jermaine Donson, PTA, WCC
• George William Doolin Jr., OD
• Kaylee Dae Dozier

• Obstetrics & Gynecology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.