Andre T Wharton

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

499 NW 70TH Ave Ste 204
Plantation, FL 33317-7573

Phone

(754) 800-1426

NPI assigned

Mar 28, 2023

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• K&a Phlebotomy Service

  • Clinical Medical Laboratory
  • North Lauderdale, FL
  • NPI 1083912778
  NPD Authorized official
• Med Diagnostic Laboratory TX Inc

  • Clinical Medical Laboratory
  • Spring, TX
  • NPI 1912691668
  NPD Authorized official
• Med Diagnostic Laboratory Inc

  • Clinical Medical Laboratory
  • Plantation, FL
  • NPI 1063116606
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1578267191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177573",
            "telephone_number": "754-800-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177573",
            "telephone_number": "754-800-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "ANDRE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Advanced Care
• Westside Chiropractic and Injury Center (MedX Chiropractic and Injury Center)
• Westside Chiropractic Center Inc
• Westside Medical Associates PA
• Micah Wharrie, MD
• Wheeler Wiggins, P.a.
• Cynthia Annunziata Wheeler, M.ED., ITDS
• Dialis Burke Wheeler, LMHC,NCC
• Guy A Wheeler, DOCTOR OF DIVINITY
• Alyssa Whinna, AUD

• Clinical Medical Laboratory in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.