Individual provider Active NPI

Michael David Whittendale Jr., DO

  • Aerospace Medicine Physician
  • Pensacola, FL
National Provider Identifier
1598452369
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
0116038066 Issued in VA
Practice address
Naval Hospital Pensacola 6000 West Highway 98
Pensacola, FL 32512-2111
Phone
(631) 873-7798
NPI assigned
Apr 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0116038066 VA Primary

Addresses

Primary practice location

Naval Hospital Pensacola 6000 West Highway 98
Pensacola, FL 32512-2111

Mailing address

Naval Hospital Pensacola 6000 West Highway 98
Pensacola, FL 32512-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116038066VAMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1598452369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL PENSACOLA 6000 WEST HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL PENSACOLA 6000 WEST HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325122111",
            "telephone_number": "631-873-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENDALE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0116038066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.